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Community-based gender perspectives of triage and treatment in suspected myocardial infarction
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2012 (English)In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 156, no 2, p. 139-143Article in journal (Refereed) Published
Abstract [en]

Background The gender perspectives of the triage of acute coronary syndromes (ACS) in a community are insufficiently explored. Methods Patients (n = 3224) with symptoms of ACS, in whom ECG was sent by the ambulance crew to a coronary care unit (CCU)/ cath lab, were investigated in the municipality of Göteborg in 2004–2007. Background, triage priority, investigations and treatment were analysed (p-values age adjusted) in relation to gender. Data were compared with three published studies (1995–2002: Surveys 1–3). Results Women were directly admitted to the CCU significantly less frequently than men (23 versus 35%, p < 0.0001). Adjusted for ECG findings, age, symptoms and medical history, odds ratio and 95% confidence limits (for direct admission; men versus women) were 0.61; 0.46–0.82. Survey 1 Patients with ACS, aged < 80, in CCU at a university hospital (n = 1744). Only minor differences between women and men, with regard to investigations and treatment, were found. Survey 2 Patients discharged from hospital (dead or alive) with AMI, regardless of type of ward (n = 1423). Fewer women than men were admitted to CCU and fewer women underwent coronary angiography (21% versus 40%; p = 0.02) and coronary revascularisation (12% versus 27%; p = 0.004). Survey 3 Patients with symptoms of AMI (n = 930) and patients with a confirmed AMI (n = 130) from a pre-hospital perspective. Women tended to be given lower priority than men both by the ambulance dispatchers and by the ambulance crew. Conclusion In our practice setting, men are given priority over women in admission to CCU, but no gender differences are seen thereafter.

Place, publisher, year, edition, pages
Elsevier Ireland Ltd , 2012. Vol. 156, no 2, p. 139-143
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Integrated Caring Science
Identifiers
URN: urn:nbn:se:hb:diva-9390DOI: 10.1016/j.ijcard.2010.10.023ISI: 000301580400012Local ID: 2320/7386OAI: oai:DiVA.org:hb-9390DiVA, id: diva2:912503
Available from: 2016-03-16 Created: 2016-03-16 Last updated: 2017-11-30Bibliographically approved

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Herlitz, Johan

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