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Gender differences in prehospital delays in patients with ST‐segment–elevation myocardial infarction undergoing percutaneous coronary intervention

Journal of the American Heart Association Jun 25, 2021

Stehli J, Dinh D, Dagan M, et al. - This research sought to examine gender discrepancies in patient delays, prehospital system delays, and hospital delays. Researchers examined consecutive patients with ST‐segment–elevation myocardial infarction treated with percutaneous coronary intervention across 30 hospitals in the Victorian Cardiac Outcomes Registry (2013–2018). Emergency medical services (EMS) call‐to‐door time (prehospital system delay). Secondary end points included symptom‐to‐EMS call time (patient delay), door‐to‐device time (hospital delay), 30‐day mortality, major adverse cardiovascular events, and major bleeding were secondary outcomes. It has been reported that female individuals with ST‐segment–elevation myocardial infarction experienced excess delays in patient delays, prehospital system delays, and hospital delays, even after adjustment for confounders. The outcomes suggested that prehospital system and hospital delays resulted in an adjusted excess delay of 10 minutes in comparison with men.

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