ISSN: 2165-7548
Weinstock Brett
Tanzania
Research Article
Evidence that Gender Effects on Time-to-ECG may be attributable to differences in Atypical Presentations
Author(s): McGregor Alyson J, Madsen Tracy, Napoli Anthony, Weinstock Brett, Machan Jason T and Becker Bruce
McGregor Alyson J, Madsen Tracy, Napoli Anthony, Weinstock Brett, Machan Jason T and Becker Bruce
Electrocardiogram (ECG) completion within 10 minutes for patients with suspected coronary heart disease is a quality marker for acute coronary syndrome (ACS). Controversy exists as to whether differences between genders in the frequency of atypical symptoms cause the observed differences in times to ECG (TECG) acquisition. Our goal was to assess whether delays observed between genders was attributable to differences in atypical symptom rates. Methods: Retrospective cross-sectional analysis of 8747 patients presenting to a Level 1 trauma hospital with a pre-specified set of “atypical” or “typical” chief complaints for ACS. Three-hundred patients were randomly selected for review. Hypotheses regarding TECG were tested using Kaplan-Meier survival analysis and proportional hazards regression. Chi-square, t-test, and Fisher’s exact test were used to compare de.. View More»
DOI:
10.4172/2165-7548.1000102