Do racial disparities exist at various time points during an emergency department visit for chest pain
Title
Do racial disparities exist at various time points during an emergency department visit for chest pain
Creator
Carl Allamby
Thomas Scott
Jessica Krizo
Kathrina Consing
Caroline Mangira
Erin L Simon
Date
2022
Description
Introduction: It is well documented that disparities in patient care based on race and ethnicity are prevalent in the emergency medical care setting. In most cases these evaluations are patient focused and outcome based. The timeliness of patient treatment in the emergency department (ED) is correlated with patient outcomes. In this study, we sought to evaluate whether the timeliness of care for patients with chest pain across stages of care was impacted by patient race.
Methods: This was a retrospective evaluation of ED throughput times including adults who presented to one of seventeen EDs in a large healthcare system from January 1, 2019 to December 31, 2019 and met criteria for inclusion. The effect of race on different intervals of care were assessed. Generalized Linear Models were used to estimate the effect of race on different intervals of care while controlling for Charlson Comorbidity index, age, gender, insurance, ED facility type and emergency severity index acuity level.
Results: A total of 28,705 patients were included, with a mean age of 54 ± 18 years. The majority of patients were White (63%), female (56%) and had Medicare or Medicaid (56%). Black patients experienced significantly increased wait times for resident physician examination, advanced practice provider examination, attending physician examination, and ED disposition. There was no difference in time to triage between Black patients and White patients.
Conclusion: Black patients have longer wait times for resident physician evaluation, advanced practice provider evaluation, attending physician evaluation, and ED disposition when presenting to the ED with chest pain.
Methods: This was a retrospective evaluation of ED throughput times including adults who presented to one of seventeen EDs in a large healthcare system from January 1, 2019 to December 31, 2019 and met criteria for inclusion. The effect of race on different intervals of care were assessed. Generalized Linear Models were used to estimate the effect of race on different intervals of care while controlling for Charlson Comorbidity index, age, gender, insurance, ED facility type and emergency severity index acuity level.
Results: A total of 28,705 patients were included, with a mean age of 54 ± 18 years. The majority of patients were White (63%), female (56%) and had Medicare or Medicaid (56%). Black patients experienced significantly increased wait times for resident physician examination, advanced practice provider examination, attending physician examination, and ED disposition. There was no difference in time to triage between Black patients and White patients.
Conclusion: Black patients have longer wait times for resident physician evaluation, advanced practice provider evaluation, attending physician evaluation, and ED disposition when presenting to the ED with chest pain.
Source
Am J Emerg Med
. 2022 Aug;58:1-4. doi: 10.1016/j.ajem.2022.04.029. Epub 2022 Apr 25.
. 2022 Aug;58:1-4. doi: 10.1016/j.ajem.2022.04.029. Epub 2022 Apr 25.
Language
English
URL
https://doi.org/10.1016/j.ajem.2022.04.029
Citation
Carl Allamby et al., “Do racial disparities exist at various time points during an emergency department visit for chest pain,” NEOMED Bibliography Database, accessed April 19, 2024, https://neomed.omeka.net/items/show/12152.