Heart, Lung and Circulation
Volume 18, Issue 1 , Pages 32-37 , February 2009

Differences in Treatment and Management of Indigenous and Non-Indigenous Patients Presenting with Chest Pain: Results of the Heart Protection Partnership (HPP) Study

  • Isuru Ranasinghe, MBchB

      Affiliations

    • Department of Cardiology, Concord Repatriation General Hospital, Hospital Road, Concord, NSW, Australia
    • Corresponding Author InformationCorresponding authors. Tel.: +61 2 9767 5000.
    • ,
  • Derek Chew, MPH, FRACP

      Affiliations

    • Department of Cardiovascular Medicine, Flinders Medical Centre, Adelaide, SA, Australia
    • ,
  • Con Aroney, MD, FRACP

      Affiliations

    • Director of Cardiology, Holy Spirit Northside Hospital, Brisbane, QLD, Australia
    • ,
  • Steven Coverdale, FRACP

      Affiliations

    • Director of Medicine, Nambour General Hospital, Nambour, QLD, Australia
    • ,
  • Roger Allen, FRACP

      Affiliations

    • Department of Cardiology, Prince of Wales Hospital, Sydney, NSW, Australia
    • ,
  • Darren Walters, FRACP

      Affiliations

    • Department of Cardiology, Prince Charles Hospital, Brisbane, QLD, Australia
    • ,
  • David Brieger, PhD, FRACP

      Affiliations

    • Department of Cardiology, Concord Repatriation General Hospital, Hospital Road, Concord, NSW, Australia
    • Corresponding Author InformationCorresponding authors. Tel.: +61 2 9767 5000.

Received 16 June 2007 ,Revised 21 May 2008 ,Accepted 12 August 2008.

References 

  1. Australian Bureau of Statistics, AIHW, The health and welfare of Aboriginal and Torres Strait Islander population. Canberra, 2003. ABS (Catalogue No. 4704.0).
  2. Walsh WF. Cardiovascular health in Indigenous Australians. MJA. 2001;175:351–357
  3. Wang Z, Hoy WE. Is the Framingham coronary heart disease absolute risk function applicable to Aboriginal people?. MJA. 2005;66–69
  4. Ong MA, Weeramanthri TS. Delay times and management of acute myocardial infarction in Indigenous and non-Indigenous people in the Northern Territory. MJA. 2000;201–204
  5. Cunningham J. Diagnostic and therapeutic procedures among Australian hospital patients identified as Indigenous. MJA. 2002;176:58–62
  6. Coory MD, Walsh F. Rates of percutaneous coronary intervention and bypass surgery after acute myocardial infarction in Indigenous patients. MJA. 2005;182:507–512
  7. Anderson JL, Adams CD, Antman EM, Bridges CR, Califf RM, Casey DE, et al. ACC/AHA 2007 guidelines for the management of patients with unstable angina/non–ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction): developed in collaboration with the American College of Emergency Physicians, American College of Physicians, Society for Academic Emergency Medicine, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2007;50:e1–e157
  8. Acute Coronary Syndrome Guidelines Working Group. Guidelines for the management of acute coronary syndromes 2006. Med J Aust. 2006;184(8 Suppl.):S1–S32
  9. Walters DL, Aroney CN, Chew DP, Bungey L, Coverdale S, Allan R, et al. Variations in the application of cardiac care in Australia: results from a prospective audit of the treatment of patients presenting with chest pain. MJA. 2008;188(4):218–223
  10. Bland JM, Altman DG. Statistics notes: transformation, means and confidence levels. BMJ. 1996;212:1079
  11. Australian Institute of Health & Welfare (AIWA) (2004). Rural, regional and remote health: A guide to remoteness classifications (AIHW Cat. No.: PHE 53). Canberra: AIHW.
  12. Australian Institute of Health & Welfare (AIWA). Australian Hospital Statistics, 2000–2001.AIHW Cat. No. HSE 20. Canberra: AIHW (Health Services Series No. 19).
  13. Sexton PT, Sexton TH. Excess cardiac mortality amongst Australian men and women living outside the capital city statistical division. MJA. 2000;172:370–374
  14. Heller RF. Mortality from cardiovascular disease is too high outside capital cities. MJA. 2000;172:360–361
  15. Vu HD, Heller RF, Lim LL, D’Este C, O’Connell RL. Mortality after acute myocardial infarction is lower in metropolitan regions than in non-metropolitan regions. J Epidemiol Community Health. 2000;54(8):590–595
  16. Lim L, O’Connell R, Heller R. Differences in management of heart attack patients between metropolitan and regional hospitals in the Hunter Region of Australia. Aust N Z J Publ Health. 1999;23:61–66
  17. Iezzoni LI. Assessing quality using administrative data. Ann Intern Med. 1997;127:666–674

PII: S1443-9506(08)00856-1

doi: 10.1016/j.hlc.2008.08.014

Heart, Lung and Circulation
Volume 18, Issue 1 , Pages 32-37 , February 2009

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