학술논문
Clinical characteristics of Aboriginal and Torres Strait Islander emergency department patients with suspected acute coronary syndrome.
Document Type
Article
Author
Stephensen, Laura; Greenslade, Jaimi; Starmer, Katrina; Starmer, Greg; Stone, Richard; Bonnin, Robert; Brazzale, Anthony; Drahm‐Butler, Tileah; Campbell, Virginia; Davis, Tania; Mowatt, Elizabeth; Brown, Nathan; Proctor, Karlie; Ashover, Sarah; Milburn, Tanya; McCormack, Louise; Graves, Nicholas; Gatton, Michelle; Mahoney, Ray; Parsonage, William
Source
Subject
*CARDIOVASCULAR diseases risk factors
*CHRONIC kidney failure
*TORRES Strait Islanders
*HOSPITAL emergency services
*HEALTH facilities
*SCIENTIFIC observation
*PATIENTS
*ACUTE coronary syndrome
*RISK assessment
*COMPARATIVE studies
*EMERGENCY medical services
*MEDICAL referrals
*DESCRIPTIVE statistics
*CHEST pain
*RESEARCH funding
*SOCIODEMOGRAPHIC factors
*REGIONAL medical programs
*SMOKING
*SYMPTOMS
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Language
ISSN
1742-6731
Abstract
Objectives: To describe the demographics, presentation characteristics, clinical features and cardiac outcomes for Aboriginal and Torres Strait Islander patients who present to a regional cardiac referral centre ED with suspected acute coronary syndrome (ACS). Methods: This was a single‐centre observational study conducted at a regional referral hospital in Far North Queensland, Australia from November 2017 to September 2018 and January 2019 to December 2019. Study participants were 278 Aboriginal and Torres Strait Islander people presenting to an ED and investigated for suspected ACS. The main outcome measure was the proportion of patients with ACS at index presentation and differences in characteristics between those with and without ACS. Results: ACS at presentation was diagnosed in 38.1% of patients (n = 106). The mean age of patients with ACS was 53.5 years (SD 9.5) compared with 48.7 years (SD 12.1) in those without ACS (P = 0.001). Patients with ACS were more likely to be male (63.2% vs 39.0%, P < 0.001), smokers (70.6% vs 52.3%, P = 0.002), have diabetes (56.6% vs 38.4%, P = 0.003) and have renal impairment (24.5% vs 10.5%, P = 0.002). Conclusions: Aboriginal and Torres Strait Islander patients with suspected ACS have a high burden of traditional cardiac risk factors, regardless of whether they are eventually diagnosed with ACS. These patients may benefit from assessment for coronary artery disease regardless of age at presentation. [ABSTRACT FROM AUTHOR]