Navigation Links
Women May Be More Likely to Experience EMS Delays for Heart Care
Date:1/14/2009

American Heart Association rapid access journal report:

Study highlights:

-- The time from the 9-1-1 call to the ambulance's arrival on the scene was similar between men and women patients.

-- Delays for women began after ambulances arrived and continued until they were delivered to emergency departments.

-- The data did not reveal why women were more likely to be delayed, but other research suggests heart conditions may not be recognized as readily, thus leading to slower response times.

DALLAS, Jan. 14 /PRNewswire-USNewswire/ -- Women who called 9-1-1 complaining of cardiac symptoms were 52 percent more likely than men to experience delays during emergency medical services' (EMS) care, according to a report in Circulation: Cardiovascular Quality and Outcomes.

The data did not reveal why women were more likely to be delayed. However, other research suggests that heart conditions in women may not be recognized as readily and response may be slower as a result.

"We need to find out why women are delayed and reduce or eliminate the disparity," said Thomas W. Concannon, Ph.D., the study's lead author and assistant professor of medicine at the Institute for Clinical Research and Health Policy Studies at Tufts Medical Center in Boston, Mass.

In the study of nearly 6,000 men and women, researchers found that 11 percent, or 647, of the total study population were delayed (15 minutes longer than median) while in the care of EMS. They found no serious delays in the time from the 9-1-1 call to paramedics' arrival at the scene. Delays began after EMS crews arrived on scene and continued during transport to the hospital.

When researchers looked at the odds for delay, they found:

  • Women had 52 percent higher odds of being among the delay group.
  • Each additional mile traveled increased the odds of delay by 9 percent to 46 percent.
  • Traveling during evening rush hour nearly doubled the odds of delay, and bypassing a nearer hospital increased the odds 81 percent.

"We looked at the influence of several patient- and neighborhood-level factors on delays in EMS and the patient's gender stood out," Concannon said.

Concannon and colleagues looked at EMS data for Dallas County, Texas, from Jan. 1 to Dec. 31, 2004. The data came from 5,887 calls made to 9-1-1 by patients with suspected cardiac symptoms, covered by 98 EMS stations and 29 hospitals. Half the patients were women, and half were white. Average time that EMS spent at the scene was 19.9 minutes, and average transport time from the scene to the hospital was 10.3 minutes. Median time in EMS care was 34 minutes, thus patients in EMS care for 49 minutes or longer were considered to be delayed.

"Treatment of acute heart disease is time-sensitive -- earlier treatment leads to better survival and improved long-term outcomes," Concannon said. "Delays of 15 minutes or more could lead to harm for a patient with serious heart disease."

"We know that diagnosis of coronary heart disease in women is often delayed, especially when compared with their male counterparts," said Jennifer H. Mieres, M.D., spokesperson for the American Heart Association's Go Red For Women campaign and director of Nuclear Cardiology at New York University. "In an emergency situation, symptoms such as shortness of breath and chest tightness are often viewed as psychogenic, rather than of cardiac origin. Women must be actively engaged in their health, listen to their bodies and insist on a thorough evaluation of critical heart health factors."

In an editorial accompanying the study, Joseph P. Ornato, M.D., professor and chairman in the Department of Emergency Medicine at Virginia Commonwealth University in Richmond, Va., said there could be other factors leading to the delay in women's transport times, such as longer time to perform an on-site electrocardiogram (EKG), and gender differences in accepting EMS care and transport, or in choice of destination hospital.

Ornato agrees that this is an issue that deserves follow-up study for a definitive answer.

Co-authors are: John L. Griffith, Ph.D.; David M. Kent, M.D., M.S.; Sharon-Lise Normand, Ph.D.; Joseph P. Newhouse, Ph.D.; James Atkins, M.D.; Joni R. Beshansky, R.N., M.P.H.; and Harry P. Selker, M.D., M.S.P.H. Author disclosures are on the manuscript.

The Agency for Healthcare Research and Quality funded the study.

Statements and conclusions of study authors that are published in American Heart Association scientific journals are solely those of the study authors and do not necessarily reflect the association's policy or position. The association makes no representation or guarantee as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events. The association has strict policies to prevent these relationships from influencing science content. Revenues from pharmaceutical and device corporations are available at www.americanheart.org/corporatefunding.


'/>"/>
SOURCE American Heart Association
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Antioxidants show no clear benefit against cardiovascular events, death in high-risk women
2. Work-Family Conflict Dogs Air Force Women After Deployment
3. Work-Family Conflict Dogs Air Force Women After Deployment
4. Antioxidant Supplements May Raise Womens Skin Cancer Risk
5. Early Weight Loss in Women Linked to Dementia
6. For Health Info, Women Often Turn to the Web
7. Smoking increases risks for head and neck cancers for men and women
8. New Study Reports High Injury Rates for Hotel Workers, Even Higher Rates for Women and Nonwhites
9. Passive smoking increases sleep disturbance among pregnant women
10. Trial to Test Gene Therapy for Angina in Women
11. Exercise and yoga improves quality of life in women with early-stage breast cancer
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... 25, 2016 , ... Experts from the American Institutes for ... Meeting June 26-28, 2016, at the Hynes Convention Center in Boston. , AIR ... care planning, healthcare costs and patient and family engagement. , AIR researchers will ...
(Date:6/25/2016)... CA (PRWEB) , ... June 25, 2016 , ... As ... with Magna Cum Laude and his M.D from the David Geffen School of Medicine ... and returned to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive ...
(Date:6/24/2016)... ... ... Those who have experienced traumatic events may suffer from a complex set ... drug or alcohol abuse, as a coping mechanism. To avoid this pain and suffering, ... traumatic event. , Trauma sufferers tend to feel a range of emotions, from depression, ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda Cheng, an ... Cheng has extensive experience with all areas of orthodontics, including robotic Suresmile technology, ... , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It can be ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute Beauty Network, affiliated ... Weintraub as a prominent plastic surgeon and the network’s newest partner. , ... most handsome men, look naturally attractive. Plastic surgery should be invisible.” He stands ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... Ontario , June 27, 2016  VMS Rehab ... Company,s Board will take whatever measures required to build ... Company,s stock which is currently listed on the OTC ... Wexler, Company Chairman and CEO, "We are seeing an ... difficult to understand, not only by the Company, but ...
(Date:6/24/2016)... CHAPEL HILL, N.C. , June 24, 2016 ... in healthcare decisions and regulators/payers have placed more ... this new environment, patient support programs in the ... support for patients, medications. Consequently, pharmaceutical companies are ... to ensure they are providing products and services ...
(Date:6/24/2016)... SAN FRANCISCO, Calif. , June 24, 2016 ... GBT ), a biopharmaceutical company developing novel therapeutics ... significant unmet needs, today announced the closing of ... shares of common stock, at the public offering ... shares in the offering were offered by GBT. ...
Breaking Medicine Technology: