Sex differences in emergency medical services management of patients with myocardial infarction: analysis of routinely collected data for over 110,000 patients

Benjumin Hsu; Cheryl Carcel; Xia Wang; Sanne A E Peters; Deborah A Randall; Alys Havard; Matthew Miller; Julie Redfern; Mark Woodward; Louisa R Jorm

doi:10.1016/j.ahj.2021.07.009

Sex differences in emergency medical services management of patients with myocardial infarction: analysis of routinely collected data for over 110,000 patients

Am Heart J. 2021 Nov:241:87-91. doi: 10.1016/j.ahj.2021.07.009. Epub 2021 Jul 24.

Authors

Affiliations

¹ Centre for Big Data Research in Health, University of New South Wales, Sydney, New South Wales, Australia; School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia. Electronic address: benjumin.hsu@unsw.edu.au.
² The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
³ The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia; The George Institute for Global Health, School of Public Health, Imperial College, London, UK; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands.
⁴ The University of Sydney Northern Clinical School, Women and Babies Research, St Leonards, New South Wales, Australia.
⁵ Centre for Big Data Research in Health, University of New South Wales, Sydney, New South Wales, Australia.
⁶ Centre for Big Data Research in Health, University of New South Wales, Sydney, New South Wales, Australia; NSW Aeromedical Operations, NSW Ambulance, Bankstown, New South Wales, Australia.
⁷ The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia; Westmead Applied Research Centre, University of Sydney, Westmead, New South Wales, Australia.
⁸ The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia; The George Institute for Global Health, School of Public Health, Imperial College, London, UK; Department of Epidemiology, Johns Hopkins University, Baltimore MD.

PMID: 34314728
DOI: 10.1016/j.ahj.2021.07.009

Abstract

Emergency medical services (EMS) activation is an integral component in managing individuals with myocardial infarction (MI). EMS play a crucial role in early MI symptom recognition, prompt transport to percutaneous coronary intervention centres and timely administration of management. The objective of this study was to examine sex differences in prehospital EMS care of patients hospitalized with Ml using data from a retrospective population-based cohort study of linked health administrative data for people with a hospital diagnosis of MI in Australia (2001-18).

Publication types

Letter
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Ambulances / statistics & numerical data
Australia / epidemiology
Cohort Studies
Early Medical Intervention / standards
Early Medical Intervention / statistics & numerical data
Emergency Medical Dispatch* / methods
Emergency Medical Dispatch* / standards
Emergency Medical Dispatch* / statistics & numerical data
Emergency Medical Services* / methods
Emergency Medical Services* / standards
Emergency Medical Services* / statistics & numerical data
Female
Humans
Male
Myocardial Infarction* / diagnosis
Myocardial Infarction* / epidemiology
Myocardial Infarction* / therapy
Percutaneous Coronary Intervention* / methods
Percutaneous Coronary Intervention* / statistics & numerical data
Quality Improvement / organization & administration
Retrospective Studies
Routinely Collected Health Data
Sex Factors*
Time-to-Treatment / organization & administration
Time-to-Treatment / standards*