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rdf:type |
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lifeskim:mentions |
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pubmed:issue |
3
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pubmed:dateCreated |
1993-5-18
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pubmed:abstractText |
Prehospital delay is an important cause of out-of-hospital coronary mortality. To determine the effects of decision time delay in a patient population comprised mainly of blacks and the underprivileged, 74 consecutive patients with acute chest pain necessitating admission to the coronary care unit in a large urban hospital were studied. Delay time from onset of chest pain to the decision to seek medical care was markedly prolonged in patients with myocardial infarction (n = 24; mean time: 11.3 +/- 18 hours) as well as in patients with chest pain who did not develop myocardial infarction (n = 50; mean time: 20.5 +/- 26 hours). In addition, transfer time from the emergency room to the coronary care unit was likewise unduly long (mean time: 4 +/- 3.8 and 4.1 +/- 6 hours for patients with and without myocardial infarction, respectively). This study documents a significant delay in the decision time among patients with low socioeconomic status, mostly inner-city blacks, and in the transfer time from emergency room to the critical care unit in a large public hospital. These findings must be taken into consideration when planning strategies to improve the health-care delivery system to blacks and the underprivileged and further lend support to the practice of initiating thrombolytic therapy in the emergency room.
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-1275621,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-2499171,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-2509747,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-2735589,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-2741818,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-3179890,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-3565876,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-3739907,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-3946210,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-5031754,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-5073659,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-5347938,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-5347939,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-5444524,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-645739,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-6470327,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-6786432,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-7209625,
http://linkedlifedata.com/resource/pubmed/commentcorrection/8474130-7223598
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0027-9684
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pubmed:author |
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pubmed:issnType |
Print
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pubmed:volume |
85
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
180-4
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pubmed:dateRevised |
2009-11-18
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pubmed:meshHeading |
pubmed-meshheading:8474130-African Americans,
pubmed-meshheading:8474130-Aged,
pubmed-meshheading:8474130-Angina, Unstable,
pubmed-meshheading:8474130-Coronary Care Units,
pubmed-meshheading:8474130-Cultural Deprivation,
pubmed-meshheading:8474130-Emergencies,
pubmed-meshheading:8474130-Hospitals, Urban,
pubmed-meshheading:8474130-Humans,
pubmed-meshheading:8474130-Male,
pubmed-meshheading:8474130-Middle Aged,
pubmed-meshheading:8474130-Minority Groups,
pubmed-meshheading:8474130-Myocardial Infarction,
pubmed-meshheading:8474130-Socioeconomic Factors,
pubmed-meshheading:8474130-Time Factors,
pubmed-meshheading:8474130-United States
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pubmed:year |
1993
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pubmed:articleTitle |
Delay between onset of chest pain and arrival to the coronary care unit among minority and disadvantaged patients.
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pubmed:affiliation |
Division of Cardiology, Cook County Hospital, Chicago, Illinois.
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pubmed:publicationType |
Journal Article,
Review
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