Rural and socioeconomic differences in the effectiveness of the HEART Pathway accelerated diagnostic protocol.

ABSTRACT:

Background

The HEART Pathway is a validated accelerated diagnostic protocol (ADP) for patients with possible acute coronary syndrome (ACS). This study aimed to compare the safety and effectiveness of the HEART Pathway based on patient rurality (rural vs. urban) or socioeconomic status (SES).

Methods

We performed a preplanned subgroup analysis of the HEART Pathway Implementation Study. The primary outcomes were death or myocardial infarction (MI) and hospitalization at 30 days. Proportions were compared by SES and rurality with Fisher's exact tests. Logistic regression evaluated for interactions of ADP implementation with SES or rurality and changes in outcomes within subgroups.

Results

Among 7245 patients with rurality and SES data, 39.9% (2887/7245) were rural and 22

SUBMITTER: O'Neill JC 

PROVIDER: S-EPMC10009897 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature