1081 Burrard Street
Martha Mackay, PhD, RN, CCN(C)
Clinical Associate Professor, UBC School of Nursing
Clinical Nurse Specialist (Cardiology), St. Paul’s Hospital Heart Centre
Racial-Identity-Based Differences in Emergency Department Care of Patients with Suspected Acute Coronary Syndrome
Investigators have identified important racial-identity/ethnicity-based differences in some aspects of acute coronary syndrome (ACS) care (time to presentation, symptoms, receipt of coronary angiography/revascularization). Patient-based differences (e.g. pathophysiology, treatment-seeking behaviour) account only partly for the differences in subsequent outcomes. Understanding the factors that contribute to these differences is important, given the significant ethnic diversity in Canada. It is unknown if there are racial-identity/ethnicity-based variations in the initial emergency department (ED) triage and care of patients with suspected ACS in Canadian hospitals.
This study prospectively enrolled ED patients with suspected ACS from 3 acute care hospital sites. Trained research assistants administered a standardised interview to gather data on symptoms, treatment- seeking patterns and self-reported racial/ethnic identity. Clinical parameters were obtained through chart review. The primary outcome was door-to-electrocardiogram (D2ECG) time, adjusted for relevant clinical and sociodemographic variables.
Work in Progress (WiP) presentations take place at St. Paul’s Hospital in the Hurlburt Auditorium on alternating Wednesdays from 12:00–1:00 PM. These seminars provide investigators with an opportunity to present ongoing research, obtain feedback from colleagues and peers, and make new connections for their projects. Talks are open, and a light lunch is served.