Effect of patient sex on triage for ischaemic heart disease and treatment onset times

A retrospective analysis of Australian emergency department data

Lisa Kuhn, Karen Page, John X. Rolley, Linda Worrall-Carter

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Time between emergency department (ED) presentation and treatment onset is an important, but little-researched phase within the revascularization process for ischaemic heart disease (IHD). Objective: To determine if sex influences triage score allocation and treatment onset for patients with IHD in the ED. Methods: Retrospective data for patients 18-85. years presenting to EDs from 2005 to 2010 for acute myocardial infarction (AMI), unstable and stable angina, and chest pain were analysed collectively and separately for AMI. Results: Proportionately more men (61% of males) were triaged correctly for AMI than women (51.4% of females; P<. 0.001). Across all triage categories, average treatment time was faster for men than women with AMI (P<. 0.001). When incorrectly triaged for AMI, treatment time for men was faster than for women (P= 0.04). When correctly triaged for AMI, there was no difference in mean treatment time between men and women (P= 0.538). Conclusions: Substantial undertriage of AMI occurred for both sexes, but was worse in women. Incorrect triage led to prolonged treatment times for AMI, with women's treatment delays longer than men's. When triaged correctly, both sexes were treated early for AMI, emphasising the need for all patients to be accurately triaged for this time-sensitive disease.

Original languageEnglish
Pages (from-to)88-93
Number of pages6
JournalInternational Emergency Nursing
Volume22
Issue number2
DOIs
Publication statusPublished - Apr 2014
Externally publishedYes

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Triage
Myocardial Ischemia
Hospital Emergency Service
Myocardial Infarction
Therapeutics
Emergency Treatment
Stable Angina
Unstable Angina
Chest Pain

Cite this

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abstract = "Time between emergency department (ED) presentation and treatment onset is an important, but little-researched phase within the revascularization process for ischaemic heart disease (IHD). Objective: To determine if sex influences triage score allocation and treatment onset for patients with IHD in the ED. Methods: Retrospective data for patients 18-85. years presenting to EDs from 2005 to 2010 for acute myocardial infarction (AMI), unstable and stable angina, and chest pain were analysed collectively and separately for AMI. Results: Proportionately more men (61{\%} of males) were triaged correctly for AMI than women (51.4{\%} of females; P<. 0.001). Across all triage categories, average treatment time was faster for men than women with AMI (P<. 0.001). When incorrectly triaged for AMI, treatment time for men was faster than for women (P= 0.04). When correctly triaged for AMI, there was no difference in mean treatment time between men and women (P= 0.538). Conclusions: Substantial undertriage of AMI occurred for both sexes, but was worse in women. Incorrect triage led to prolonged treatment times for AMI, with women's treatment delays longer than men's. When triaged correctly, both sexes were treated early for AMI, emphasising the need for all patients to be accurately triaged for this time-sensitive disease.",
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Effect of patient sex on triage for ischaemic heart disease and treatment onset times : A retrospective analysis of Australian emergency department data. / Kuhn, Lisa; Page, Karen; Rolley, John X.; Worrall-Carter, Linda.

In: International Emergency Nursing, Vol. 22, No. 2, 04.2014, p. 88-93.

Research output: Contribution to journalArticle

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