impact of age, gender and indigenous status on access to diagnostic coronary angiography for acute...

ABSTRACTS 660 Heart, Lung and Circulation Abstracts 2012;21:648–660 29 Impact of Age, Gender and Indigenous Status on Access to Diagnostic Coronary Angiography for Acute Coronary Syndrome Yvette Roe a , Robyn McDermott b , Murthy Mittinty c , Christopher Zeitz d , Derek Chew e a University of South Australia, Australia b Sansom Institute, University of South Australia c The University of Adelaide, Australia d The Queen Elizabeth Hospital, Australia e Flinders University, Australia Objective: Using the Australian guidelines for the management of acute coronary syndromes, we investigated the proportion of eligible patients who received a diagnostic coronary angiogram for ACS in Australian hospitals. Method: Analysis of a prospective nationwide multicen- tre health registry. Study cohort: Patients admitted through emergency departments between 1 November 2005 and 31 July 2007; who presented at one of the 39 study sites with high risk non-ST-segment elevated acute coronary syndromes (n = 1764). Outcome measure: The proportion of eligible patients who had diagnostic angiography by Indigenous status, risk profile and gender. Results: Indigenous patients were younger, more likely to be diabetic and smoke tobacco than non-Indigenous patients. Indigenous women were four times more likely to smoke than non-Indigenous women. Sixty-five percent of eligible men and 50% of eligible women received diagnostic angiography. Indigenous patients were equally likely to get angiography compared to eligible non-Indigenous patients. Age was also a determinant of likelihood of angiography being performed, increasing age reduced the likelihood of angiography. As such, Indigenous patients may be relatively under-treated, although small numbers preclude a firm conclusion. Conclusions: There is a significant shortfall in the receipt of diagnostic angiograms for all groups (men and women, Indigenous and non-Indigenous) between eligibility and receiving an angiogram. This shortfall is most marked for all women compared to men. In light of this finding, we recommend an in depth analysis of any gender difference in diagnostic investigation and management of ACS in Australian hospitals. DOI of original abstract: http://dx.doi.org/10.1016/j.hlc.2011.04.035 DOI of this abstract: http://dx.doi.org/10.1016/j.hlc.2012.07.048

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660 Heart, Lung and CirculationAbstracts 2012;21:648–660

Impact of Age, Gender and Indigenous Status on Accessto Diagnostic Coronary Angiography for Acute CoronarySyndrome

Yvette Roe a, Robyn McDermott b, Murthy Mittinty c,Christopher Zeitz d, Derek Chew e

a University of South Australia, Australiab Sansom Institute, University of South Australiac The University of Adelaide, Australiad The Queen Elizabeth Hospital, Australiae Flinders University, Australia

Objective: Using the Australian guidelines for the man-agement of acute coronary syndromes, we investigated theproportion of eligible patients who received a diagnosticcoronary angiogram for ACS in Australian hospitals.

Method: Analysis of a prospective nationwide multicen-tre health registry.

Study cohort: Patients admitted through emergencydepartments between 1 November 2005 and 31 July 2007;who presented at one of the 39 study sites with highrisk non-ST-segment elevated acute coronary syndromes(n = 1764).

Outcome measure: The proportion of eligible patients whohad diagnostic angiography by Indigenous status, riskprofile and gender.

Results: Indigenous patients were younger, more likelyto be diabetic and smoke tobacco than non-Indigenouspatients. Indigenous women were four times more likely tosmoke than non-Indigenous women. Sixty-five percent ofeligible men and 50% of eligible women received diagnos-tic angiography. Indigenous patients were equally likelyto get angiography compared to eligible non-Indigenouspatients. Age was also a determinant of likelihood ofangiography being performed, increasing age reduced thelikelihood of angiography. As such, Indigenous patientsmay be relatively under-treated, although small numberspreclude a firm conclusion.

Conclusions: There is a significant shortfall in the receiptof diagnostic angiograms for all groups (men and women,Indigenous and non-Indigenous) between eligibility andreceiving an angiogram. This shortfall is most marked forall women compared to men. In light of this finding, werecommend an in depth analysis of any gender differencein diagnostic investigation and management of ACS inAustralian hospitals.

DOI of original abstract: http://dx.doi.org/10.1016/j.hlc.2011.04.035DOI of this abstract: http://dx.doi.org/10.1016/j.hlc.2012.07.048

http://dx.doi.org/10.1016/j.hlc.2011.04.035

dx.doi.org/10.1016/j.hlc.2012.07.048

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