View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
FRIDAY, May 13 (HealthDay News) Patients' inability to comprehend English delays symptom onset to presentation time (S2PT) among patients presenting with ST-segment elevation myocardial infarction (STEMI), according to a study presented at the American Heart Association's Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke 2011 Scientific Sessions, held from May 12 to 14 in Washington, D.C.
Dayana J. Eslava, M.D., from the Beth Israel Medical Center in New York City, and colleagues investigated whether a patient's ability to understand English impacts the S2PT. Based on a patient's account of symptom onset, the S2PT on the day of the infarct for 210 patients with STEMI was recorded. Through telephone interviews conducted during routine follow-up, they identified 176 participants with either some comprehension or fluency in English (E) and 34 with no English comprehension (non-E). The non-E patients spoke Spanish (65 percent), Russian or Chinese (6 percent each), and other languages (23 percent).
The investigators found that non-E patients had a significantly higher S2PT compared to E patients, with increased odds observed among non-E patients with a longer S2PT (adjusted odds ratio for S2PT > 120 minutes, 2.17; P = 0.04). Even after adjusting for variables like age, sex, ethnicity, level of education, and comorbidities, this association remained constant.
"S2PT is strongly influenced by a patient's ability to comprehend English. This information emphasizes the need for more aggressive 'multi-lingual' educational outreach and the use of multi-lingual emergency lines in an effort to decrease total ischemic time during STEMI," the authors write.
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top