Featured Research

from universities, journals, and other organizations

Women May Be More Likely To Experience Emergency Medical Services Delays For Heart Care

Date:
January 19, 2009
Source:
American Heart Association
Summary:
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.

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.

Related Articles


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.


Story Source:

The above story is based on materials provided by American Heart Association. Note: Materials may be edited for content and length.


Cite This Page:

American Heart Association. "Women May Be More Likely To Experience Emergency Medical Services Delays For Heart Care." ScienceDaily. ScienceDaily, 19 January 2009. <www.sciencedaily.com/releases/2009/01/090113174434.htm>.
American Heart Association. (2009, January 19). Women May Be More Likely To Experience Emergency Medical Services Delays For Heart Care. ScienceDaily. Retrieved January 26, 2015 from www.sciencedaily.com/releases/2009/01/090113174434.htm
American Heart Association. "Women May Be More Likely To Experience Emergency Medical Services Delays For Heart Care." ScienceDaily. www.sciencedaily.com/releases/2009/01/090113174434.htm (accessed January 26, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Monday, January 26, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Mistakes Should Serve a Lesson Says WHO

Ebola Mistakes Should Serve a Lesson Says WHO

AFP (Jan. 25, 2015) The World Health Organization&apos;s chief on Sunday admitted the UN agency had been caught napping on Ebola, saying it should serve a lesson to avoid similar mistakes in future. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com
Disneyland Measles Outbreak Spreads To 5 States

Disneyland Measles Outbreak Spreads To 5 States

Newsy (Jan. 24, 2015) Much of the Disneyland measles outbreak is being blamed on the anti-vaccination movement. The CDC encourages just about everyone get immunized. Video provided by Newsy
Powered by NewsLook.com
Growing Measles Outbreak Worries Calif. Parents

Growing Measles Outbreak Worries Calif. Parents

AP (Jan. 23, 2015) Public health officials are rushing to contain a measles outbreak that has sickened 70 people across 6 states and Mexico. The AP&apos;s Raquel Maria Dillon has more. (Jan. 23) Video provided by AP
Powered by NewsLook.com
Smart Wristband to Shock Away Bad Habits

Smart Wristband to Shock Away Bad Habits

Reuters - Innovations Video Online (Jan. 23, 2015) A Boston start-up is developing a wristband they say will help users break bad habits by jolting them with an electric shock. Ben Gruber reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins