Impact of limited English proficiency on presentation and outcomes of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction

Sinjini Biswas; Michael Seman; Nicholas Cox; Christopher Neil; Angela Brennan; Diem Dinh; Antony Walton; William Chan; Jeffrey Lefkovits; Christopher Reid; Dion Stub

doi:10.1111/imj.13751

Impact of limited English proficiency on presentation and outcomes of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction

Sinjini Biswas, Michael Seman, Nicholas Cox, Christopher Neil, Angela Brennan, Diem Dinh, Antony Walton, William Chan, Jeffrey Lefkovits, Christopher Reid, Dion Stub

Research output: Contribution to journal › Article › Research › peer-review

9 Citations (Scopus)

Abstract

Doctor–patient language discordance has been shown to lead to worse clinical outcomes. In this study of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction at an Australian health service, we demonstrated that limited English proficiency (LEP) is an independent predictor of prolonged symptom-to-door time, but does not lead to worse 30-day mortality compared with English-proficient patients. More effort needs to be placed in providing public health education in varied languages to encourage early presentation to hospital for patients with LEP.

Original language	English
Pages (from-to)	457-461
Number of pages	5
Journal	Internal Medicine Journal
Volume	48
Issue number	4
DOIs	https://doi.org/10.1111/imj.13751
Publication status	Published - 1 Apr 2018

Keywords

acute myocardial infarction
English proficiency
percutaneous coronary intervention

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/imj.13751

Cite this

Biswas, S., Seman, M., Cox, N., Neil, C., Brennan, A., Dinh, D., Walton, A., Chan, W., Lefkovits, J., Reid, C., & Stub, D. (2018). Impact of limited English proficiency on presentation and outcomes of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction. Internal Medicine Journal, 48(4), 457-461. https://doi.org/10.1111/imj.13751

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title = "Impact of limited English proficiency on presentation and outcomes of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction",

abstract = "Doctor–patient language discordance has been shown to lead to worse clinical outcomes. In this study of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction at an Australian health service, we demonstrated that limited English proficiency (LEP) is an independent predictor of prolonged symptom-to-door time, but does not lead to worse 30-day mortality compared with English-proficient patients. More effort needs to be placed in providing public health education in varied languages to encourage early presentation to hospital for patients with LEP.",

keywords = "acute myocardial infarction, English proficiency, percutaneous coronary intervention",

author = "Sinjini Biswas and Michael Seman and Nicholas Cox and Christopher Neil and Angela Brennan and Diem Dinh and Antony Walton and William Chan and Jeffrey Lefkovits and Christopher Reid and Dion Stub",

year = "2018",

month = apr,

day = "1",

doi = "10.1111/imj.13751",

language = "English",

volume = "48",

pages = "457--461",

journal = "Internal Medicine Journal",

issn = "1444-0903",

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}

Biswas, S, Seman, M, Cox, N, Neil, C, Brennan, A, Dinh, D , Walton, A , Chan, W , Lefkovits, J , Reid, C & Stub, D 2018, 'Impact of limited English proficiency on presentation and outcomes of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction', Internal Medicine Journal, vol. 48, no. 4, pp. 457-461. https://doi.org/10.1111/imj.13751

Impact of limited English proficiency on presentation and outcomes of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction. / Biswas, Sinjini; Seman, Michael; Cox, Nicholas et al.
In: Internal Medicine Journal, Vol. 48, No. 4, 01.04.2018, p. 457-461.

Research output: Contribution to journal › Article › Research › peer-review

TY - JOUR

T1 - Impact of limited English proficiency on presentation and outcomes of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction

AU - Biswas, Sinjini

AU - Seman, Michael

AU - Cox, Nicholas

AU - Neil, Christopher

AU - Brennan, Angela

AU - Dinh, Diem

AU - Walton, Antony

AU - Chan, William

AU - Lefkovits, Jeffrey

AU - Reid, Christopher

AU - Stub, Dion

PY - 2018/4/1

Y1 - 2018/4/1

N2 - Doctor–patient language discordance has been shown to lead to worse clinical outcomes. In this study of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction at an Australian health service, we demonstrated that limited English proficiency (LEP) is an independent predictor of prolonged symptom-to-door time, but does not lead to worse 30-day mortality compared with English-proficient patients. More effort needs to be placed in providing public health education in varied languages to encourage early presentation to hospital for patients with LEP.

AB - Doctor–patient language discordance has been shown to lead to worse clinical outcomes. In this study of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction at an Australian health service, we demonstrated that limited English proficiency (LEP) is an independent predictor of prolonged symptom-to-door time, but does not lead to worse 30-day mortality compared with English-proficient patients. More effort needs to be placed in providing public health education in varied languages to encourage early presentation to hospital for patients with LEP.

KW - acute myocardial infarction

KW - English proficiency

KW - percutaneous coronary intervention

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U2 - 10.1111/imj.13751

DO - 10.1111/imj.13751

M3 - Article

AN - SCOPUS:85044960565

SN - 1444-0903

VL - 48

SP - 457

EP - 461

JO - Internal Medicine Journal

JF - Internal Medicine Journal

IS - 4

ER -

Impact of limited English proficiency on presentation and outcomes of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Characterization and optimization of post cardiac arrest care with multi-modality imaging, cardiac intervention and novel therapeutics

Optimizing post cardiac arrest myocardial dysfunction with early coronary intervention and assessment by magnetic resonance imaging, invasive coronary hemodynamic measurements and markers of inflammation

Cite this

Impact of limited English proficiency on presentation and outcomes of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Projects

Characterization and optimization of post cardiac arrest care with multi-modality imaging, cardiac intervention and novel therapeutics

Optimizing post cardiac arrest myocardial dysfunction with early coronary intervention and assessment by magnetic resonance imaging, invasive coronary hemodynamic measurements and markers of inflammation

Cite this