Black patients more likely to have ER ambulance diversion — 4 insights

A University of California San Francisco study found African American patients with heart conditions are more likely than white patients to have their ambulance diverted to another hospital because of overcrowding in the nearest emergency room, according to UCSF.

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Between 2001 and 2011, researchers analyzed diversion logs from 26 California counties.

Here are four insights:

1. Of the almost 30,000 patients, 50 percent had no diversion, 25 percent had six hours or less of diversion, 15 percent had between 6 hours and 12 hours of diversion and 10 percent had more than 12 hours of diversion.

2. Researchers noted patients in minority-serving hospitals were more likely to suffer diversion.

3. Those patients with more than 12 hours of diversion experienced a 4.4 percent reduction in access to cardiac care units and a 3.4 percent reduction in access to catheterization labs or facilities specializing in procedures that facilitate blood flow to the heart.

4. Patients suffering from the highest level of ambulance diversion had a 4.3 percent less change of receiving cauterization and suffered a 9.6 percent greater one-year mortality.

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