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 journalArticleResearchpeer-review

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 languageEnglish
Pages (from-to)457-461
Number of pages5
JournalInternal Medicine Journal
Volume48
Issue number4
DOIs
Publication statusPublished - 1 Apr 2018

Keywords

  • acute myocardial infarction
  • English proficiency
  • percutaneous coronary intervention

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