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Inequalities in the early treatment of women and men with acute chest pain?
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2012 (English)In: American Journal of Emergency Medicine, ISSN 0735-6757, E-ISSN 1532-8171, Vol. 30, no 8, 1515-1521 p.Article in journal (Refereed) Published
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Abstract [en]

PURPOSE: The aim of this study was to identify sex differences in the early chain of care for patients with chest pain. DESIGN: This is a retrospective study performed at 3 centers including all patients admitted to the emergency department because of chest pain, during a 3-month period in 2008, in the municipality of Göteborg. Chest pain or discomfort in the chest was the only inclusion criterion. There were no exclusion criteria. DATA SOURCES: Data were retrospectively collected from ambulance and medical records and electrocardiogram (ECG), echocardiography, and laboratory databases. MAIN FINDINGS: A total of 2588 visits (1248 women and 1340 men) made by 2393 patients were included. When adjusting for baseline variables, female sex was significantly associated with a prolonged delay time (defined as above median) between (a) admission to hospital and admission to a hospital ward (odds ratio [OR], 1.59; 95% confidence interval [CI], 1.25-2.03), (b) first physical contact and first dose of aspirin (OR, 2.22; 95% CI, 1.30-3.82), and (c) admission to hospital and coronary angiography (OR, 2.50; 95% CI, 1.29-5.13). Delay time to the first ECG recording did not differ significantly between women and men. PRINCIPAL CONCLUSIONS: Among patients hospitalized due to chest pain, when adjusting for differences at baseline, female sex was associated with a prolonged delay time until admission to a hospital ward, to administration of aspirin, and to performing a coronary angiography. There was no difference in delay to the first ECG recording.

Place, publisher, year, edition, pages
W.B. Saunders Co. , 2012. Vol. 30, no 8, 1515-1521 p.
National Category
Medical and Health Sciences
Research subject
Integrated Caring Science
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URN: urn:nbn:se:hb:diva-1434DOI: 10.1016/j.ajem.2011.12.020ISI: 000309813900029PubMedID: 22386352Local ID: 2320/11773OAI: oai:DiVA.org:hb-1434DiVA: diva2:869490
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2016-11-23Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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