The Association of Sex and Payer Status on Management and Subsequent Survival in Acute Myocardial Infarction

Canto, John G.; Rogers, William J.; Chandra, Nisha; French, William J.; Barron, Hal V.; Frederick, Paul D.; Maynard, Charles; Every, Nathan R.

doi:10.1001/archinte.162.5.587

Cited by 19 publications

(13 citation statements)

References 9 publications

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“…This situation has also been reported in other populations, including elderly patients [16], ethnic minorities [17], and some financial [18] and socio-economic [19] subpopulations, despite the higher morbidity and mortality rates in these patients. Similar circumstances have been documented in Spain [20], although not in relation to diagnosis or therapeutic management or since publication of new clinical practice guidelines in 2004.…”

Section: Introductionsupporting

confidence: 72%

“…A significantly higher proportion of women than men had a history of diabetes (41.2% vs. 25.5%), hypertension (61.1% vs. 41%), and revascularization (12% vs. 7.2%) but a lower percentage had a history of smoking (15.7% vs. 53.6%) and previous AMI (13% vs. 16.6%). The women more frequently had an AMI with non-ST elevation or LBBB and an AMI of anterior localization, and they had a 18.8%) compared with the men. No significant gender differences were observed in the CCU use of coronary angiography.…”

Section: Resultsmentioning

confidence: 95%

See 1 more Smart Citation

Gender differences in management and outcome of patients with acute myocardial infarction

Reina

Colmenero

Hoyos

et al. 2007

International Journal of Cardiology

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Section: Introductionsupporting

confidence: 72%

Section: Resultsmentioning

confidence: 95%

Gender differences in management and outcome of patients with acute myocardial infarction

Reina

Colmenero

Hoyos

et al. 2007

International Journal of Cardiology

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“…These results also do not depart from the results of recent studies where women are more likely to have AH and diabetes [27][28][29][30] . We have verified smoking in male patients with AMI more often than women (34.9 vs 21.6%, χ2 = 11.791; P = 0.001) (table 6).…”

Section: Resultssupporting

confidence: 52%

Gender differences in the clinical presentation, treatment and outcomes of acute myocardial infarction

et al. 2018

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Abstract. Aim: To assess the epidemiological and clinical differences between men and women with acute myocardial infarction (AMI). Patients and methods: This retrospective study included 579 patients (352 men and 221 women) who were hospitalized at the Coronary and postcoronary unit at the General Hospital, Karlovac, Croatia, from 2013 to 2016. We determined the frequency, patient's age, type of symptoms, cardiovascular risk the factors, localization, the time from the onset of symptoms to arrival to the hospital, treatment and complications during the hospitalization. Results: AMI is more frequent in men than in women (P < 0.001) and in men it is significantly more likely to occur at an earlier age than in women (P < 0.001). Men often have typical symptoms while women have atypical symptoms (P = 0.045). More often women have arterial hypertension (P = 0.017) and diabetes (P = 0.025), while men are more often smokers (P = 0.001). There was no difference between the gender regarding hyperlipidemia (P = 0,674). Distribution of localization (P = 0.608), the time required for the arrival to the hospital (P = 0.399) and all the complications of AMI are equal (P = 0.365). Men are more likely to receive PCI treatment, while women get the conservative therapy (P = 0.007). Conclusion: Compared with other studies, our women with AMI have less hyperlipidemia and do not come later to hospital than men. Possible causes are dietary habits and genetics or education and good organization of outpatient emergency medical assistance.Key words: acute myocardial infarction; cardiovascular risk; Croatia; hospital treatment Sažetak. Cilj: Ispitati epidemiološke i kliničke razlike između žena i muškaraca s akutnim infarktom miokarda (AIM). Bolesnici i metode: Ova retrospektivna studija obuhvatila je 579 pacijenata (352 muškarca i 221 ženu) hospitaliziranih u koronarnoj i postkoronarnoj jedinici Opće bolnice Karlovac, Hrvatska, od 2013. do 2016. godine. Utvrdili smo učestalost, dob pacijenata, tip simptoma, kardiovaskularne rizične čimbenike, lokalizaciju, vrijeme od početka simptoma do dolaska u bolnicu, liječenje i komplikacije tijekom hospitalizacije AIM-a. Rezultati: AIM je češći kod muškaraca nego kod žena (P < 0,001) i kod muškaraca je značajno vjerojatnije da će se pojaviti u ranijoj dobi nego kod žena (P < 0,001). Muškarci češće imaju tipične simptome, a žene atipične simptome (P = 0,045). Žene imaju češće arterijsku hipertenziju (P = 0,017) i dijabetes (P = 0,025), dok su muškarci češće pušači (P = 0,001). Hiperlipidemija je podjednako zastupljena u oba spola (P = 0,674). Distribucija lokalizacije (P = 0,608), vrijeme potrebno za dolazak u bolnicu (P = 0,399) i sve komplikacije AIM-a podjednako su česti (P = 0,365). Muškarci se češće liječe invazivnom, a žene konzervativnom terapijom. Zaključak: U usporedbi s drugim istraživanjima naše žene s AIM-om imaju manju učestalost hiperlipidemije i ne dolaze kasnije u bolnicu od muškaraca. Mogući razlozi su prehrambene navike i genetika ili obrazovanje i dobra organizacija izvanbolničk...

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“…Whereas the IOM Report focused on hospital-based services for admitted patients, trauma and acute cardiovascular diseases are closely associated in the public mind with emergency care (2)(3)(4)(5). There have been few other published reports regarding ED care and insurance.…”

mentioning

confidence: 99%

Care without coverage: Is there a relationship between insurance and ED care?

White¹,

French²,

Zwemer³

et al. 2007

The Journal of Emergency Medicine

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The Association of Sex and Payer Status on Management and Subsequent Survival in Acute Myocardial Infarction

Abstract: In this large registry, we did not observe significant variations among payer classes in management and mortality among women and men after acute myocardial infarction.

Cited by 19 publications

References 9 publications

Gender differences in management and outcome of patients with acute myocardial infarction

Gender differences in management and outcome of patients with acute myocardial infarction

Gender differences in the clinical presentation, treatment and outcomes of acute myocardial infarction

Care without coverage: Is there a relationship between insurance and ED care?

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