From: Ethnic disparities in STEMI outcomes among older adults: a comparative study of bedouins and jews
Jews (n = 469) | Bedouins (n = 106) | Total (n = 575) | p-value | |
---|---|---|---|---|
Demographics | ||||
Age, years (mean ± SD) | 74.56 (7.58) | 73.40 (5.99) | 74.35 (7.33) | 0.139 |
Female sex (n, %) | 149 (31.8) | 33 (31.1) | 182 (31.7) | 0.991 |
Comorbidities | ||||
CIHD (n, %) | 130 (27.7) | 38 (35.8) | 168 (29.2) | 0.123 |
Diabetes mellitus (n, %) | 191 (40.7) | 57 (53.8) | 248 (43.1) | 0.019 |
Hypertension (n, %) | 328 (69.9) | 78 (73.6) | 406 (70.6) | 0.531 |
Dyslipidemia (n, %) | 333 (71.0) | 85 (80.2) | 418 (72.7) | 0.072 |
Smoking (n, %) | 131 (27.9) | 43 (40.6) | 174 (30.3) | 0.015 |
CCWI (median [min-max]) | 4.00 [1.00, 10.00] | 4.00 [2.00, 7.00] | 4.00 [1.00, 10.00] | 0.051 |
Arrival characteristics | ||||
Arrival by, n (%) | < 0.001 | |||
Self | 86 (18.3) | 21 (19.8) | 107 (18.6) | |
Ambulance ordered by patient | 293 (62.5) | 42 (39.6) | 335 (58.3) | |
Referral by an emergency medical center | 90 (19.2) | 43 (40.6) | 133 (23.1) | |
Arrival to ED vs. directly to ICCU, n (%) | 246 (52.5) | 72 (67.9) | 318 (55.3) | 0.005 |
Timelines (minutes) | ||||
Pain to first medical contact (median [min-max]) | 90.00 [5.00, 3570.00] | 126.50 [12.00, 3200.00] | 90.00 [5.00, 3570.00] | 0.006 |
Pain to door (median [min-max]) | 128.00 [15.00, 3637.00] | 158.50 [28.00, 3312.00] | 135.00 [15.00, 3637.00] | 0.01 |
Door to device (median [min-max]) | 50.00 [5.00, 241.00] | 55.00 [11.00, 157.00] | 51.00 [5.00, 241.00] | 0.035 |
Door to balloon (median [min-max]) | 66.00 [15.00, 270.00] | 74.50 [20.00, 178.00] | 67.00 [15.00, 270.00] | 0.155 |
Total ischemic time (median [min-max]) | 205.00 [80.00, 3706.00] | 240.00 [80.00, 3482.00] | 210.00 [80.00, 3706.00] | 0.003 |
Complications | ||||
Left ventricular function (n, %) | 0.116 | |||
Normal / preserved | 71 (15.1) | 8 (7.5) | 79 (13.7) | |
Mild dysfunction | 130 (27.7) | 26 (24.5) | 156 (27.1) | |
Moderate dysfunction | 144 (30.7) | 41 (38.7) | 185 (32.2) | |
Severe dysfunction | 124 (26.4) | 31 (29.2) | 155 (27.0) | |
Life-threatening arrhythmia (n, %) | 0.61 | |||
No arrythmia | 418 (89.1) | 95 (89.6) | 513 (89.2) | |
VT/VF | 27 (5.8) | 4 (3.8) | 31 (5.4) | |
High degree AV block | 24 (5.1) | 7 (6.6) | 31 (5.4) | |
Cardiogenic shock (n, %) | 36 (7.7) | 10 (9.4) | 46 (8.0) | 0.686 |
Outcomes | ||||
In-hospital mortality (n, %) | 51 (10.9) | 14 (13.2) | 65 (11.3) | 0.606 |
30-days mortality (n, %) | 54 (11.5) | 15 (14.2) | 69 (12.0) | 0.556 |
One-year mortality (n, %) | 98 (20.9) | 23 (21.7) | 121 (21.0) | 0.959 |
LOS ICCU (median [min-max]) | 4.00 [1.00, 22.00] | 4.00 [1.00, 13.00] | 4.00 [1.00, 22.00] | 0.21 |