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Prevalence and predictors of delay in seeking emergency care in patients who call 9-1-1 for chest pain

The Journal of Emergency Medicine Oct 17, 2019

Frisch SO, Faramand Z, Li H, et al. - The prevalence and predictors of delay in seeking care in high-risk chest pain patients with or without acute coronary syndrome (ACS) were assessed via performing a secondary analysis of an observational cohort study of patients transported by Emergency Medical Services for a chief complaint of chest pain. Researchers included 743 patients in the final analysis (99% non-Hispanic). Overall, there were 24% patients who presented > 12 h from onset of symptoms. They identified that 14% of those with ACS (n = 115) presented > 12 h after onset of symptoms. Delayed seeking behavior was observed to be correlated with race, smoking, diabetes, and related symptoms. Multivariate analysis suggested an independent correlation of only non-Caucasian race (black or others) with > 12 h delay in seeking care.
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