PMID: 8452325Apr 15, 1993Paper

Effect of race on the presentation and management of patients with acute chest pain

Annals of Internal Medicine
P A JohnsonL Goldman

Abstract

To compare racial differences in clinical presentation, natural history, and access to medical care and procedures among emergency-department patients with acute chest pain. Prospective follow-up study of consecutive patients coming to the emergency department because of acute chest pain. Two university medical centers. A total of 3031 patients who were 30 years or older and who came to the emergency department with acute chest pain from 1984 to 1986. African-Americans tended to have slightly, but not always significantly, lower rates of acute myocardial infarction, acute ischemic heart disease, and major complications, after adjusting for presenting symptoms and signs; the adjusted odds ratios for African-Americans were as follows: 0.77 (95% CI, 0.54 to 1.1) for acute myocardial infarction, 0.75 (CI, 0.59 to 0.95) for ischemic heart disease, and 0.79 (CI, 0.45 to 1.4) for death or major complications. Clinical factors classically associated with acute myocardial infarction were equally predictive in African-Americans and whites. After adjustments were made for multiple clinical factors, a lower proportion of African-Americans were admitted to the hospital (odds ratio, 0.69; CI, 0.56 to 0.84), and, once admitted, were somewhat ...Continue Reading

Citations

May 10, 2000·Clinical Cardiology·M MastoorJ Lindsay
Aug 3, 2000·Journal of Urban Health : Bulletin of the New York Academy of Medicine·L Eisenberg
Nov 1, 1996·Journal of General Internal Medicine·E D McKinleyM Danis
Jul 1, 1996·Journal of General Internal Medicine·R S PhillipsA F Connors
Nov 1, 1994·Journal of General Internal Medicine·S H SialJ S Goodwin
Jul 28, 2006·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·I HamrickD M Cummings
May 1, 1997·Journal of General Internal Medicine·J WhittleM Joswiak
Sep 1, 1996·Social Science & Medicine·J Latour-PérezL Rosado-Bretón
Jan 1, 1995·Annals of Epidemiology·E D Peterson, R M Califf
Apr 1, 1996·Disease-a-month : DM·N Futrell, C H Millikan
Nov 25, 2000·Journal of the American College of Cardiology·C R BridgesL P Coombs
Aug 31, 2001·Journal of the American College of Cardiology·S OkeloE Lesnefsky
Apr 8, 2003·Journal of the American College of Cardiology·Thomas A LaVeistStephen Plantholt
Feb 1, 1997·Journal of the American College of Cardiology·H A TaylorW J Rogers
Dec 31, 1997·Journal of the American College of Cardiology·J A FergusonM Weinberger
Sep 13, 2002·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Paula A Johnson, Rachael S Fulp
Jul 1, 1997·Journal of Advanced Nursing·A C Rogers
Jan 20, 1999·Journal of General Internal Medicine·L B ShepardsonG E Rosenthal
Jul 27, 1999·Journal of General Internal Medicine·D R Bangsberg, A Moss
Apr 25, 2001·Journal of General Internal Medicine·R E WatsonUNKNOWN Michigan State University Inter-Institutional Collaborative Heart Study Group
May 25, 2002·Journal of the American Geriatrics Society·Eric L KrakauerKen Fox
Aug 26, 1993·The New England Journal of Medicine·J Z Ayanian
Mar 17, 1994·The New England Journal of Medicine·R D MooreR E Chaisson
Feb 25, 1999·The New England Journal of Medicine·K A SchulmanJ J Escarce
May 20, 1998·The American Journal of the Medical Sciences·J A FergusonM Weinberger
Jan 2, 2007·Anesthesiology·Laurent G GlanceAndrew W Dick
Aug 29, 2006·Academic Medicine : Journal of the Association of American Medical Colleges·Joseph R Betancourt
Feb 3, 1999·Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association·N KassE G Bing
Dec 4, 2008·Critical Care Medicine·Sara E EricksonUNKNOWN National Institutes of Health National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network
Aug 31, 2004·Journal of General Internal Medicine·Howard S GordonNelda P Wray

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