Time Trends in Symptoms and Prehospital Delay Time in Women vs. Men with Myocardial Infarction Over a 15-Year Period. The Northern Sweden MONICA Study

Isaksson, Rose-Marie; Holmgren, Lars; Lundblad, Dan; Brulin, Christine; Eliasson, Mats

doi:10.1016/j.ejcnurse.2007.09.001

Cited by 62 publications

(78 citation statements)

References 30 publications

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“…We could not determine the reason for the heterogeneity associated with the RR for chest pain (I 2 87% and RR .93; 95% CI, .91e.95), but by removing 3 studies, 28,34,37 the I 2 was reduced to 29%, with an RR of .95 (95% CI, .94e.96). For the symptom of dyspnea, removing 2 studies, 38,39 which unlike the other studies only included patients with ST-segment elevation myocardial infarction, reduced I 2 from 66% to 39% and changed the RR from 1.26 (95% CI, 1.15e1.37) to 1.23 (95% CI, 1.14e1.33).…”

Section: Heterogeneitymentioning

confidence: 94%

Sex differences in symptom presentation in acute myocardial infarction: A systematic review and meta-analysis

2011

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Section: Heterogeneitymentioning

confidence: 94%

Sex differences in symptom presentation in acute myocardial infarction: A systematic review and meta-analysis

2011

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“…For example, it has been shown that older people and women do have less 'typical' symptom experiences associated with acute myocardial infarction. 21,22 This needs to be taken into account when interpreting the results.…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

“…One alternative explanation would be that the symptom scenario presented in the vignette does not reflect the way in which serious chest pain symptoms are experienced by women and older people. 21,22 Therefore, discrepancies seen in the provision of secondary and tertiary care for these groups may be due to those individuals being less likely to recognise 'atypical' cardiac symptoms, 32 and, hence, not seeking help. Another alternative explanation might be the different ways older people and women present themselves during consultations, which then leads to different treatment protocols.…”

Section: Implications For Future Research and Clinical Practicementioning

confidence: 99%

Age and sex interaction in reported help seeking in response to chest pain

Adamson

Donovan²,

Ben-Shlomo³

et al. 2008

Br J Gen Pract

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There is a growing literature suggesting that access to cardiology services is affected by age. However, there is a dearth of studies that have considered age and sex in conjunction. AimThis study aims to examine the impact of age, and its interaction with sex, on reported healthcare seeking, based on responses to symptom vignettes, in an attempt to standardise symptomatology across all responders. Design of studyA cross-sectional survey design was utilised. SettingPrimary care. MethodA random sample of 911 individuals, stratified by sex, was selected from one practice in the UK. Participants were invited to state how they would react in response to the chest pain symptoms presented. Patterns of response were examined, by age and sex, using χ 2 and logistic regression models. ResultsThis study identified differences by age and sex in a general practice population in the propensity to seek health care. In particular, men aged 60-69 years and women aged 70 years and over were more likely to report healthcare seeking than younger responders. For example, women aged 70 years and over had over three times greater odds of reporting contact with the GP compared to the reference category. Evidence for an interaction effect between age and sex was observed. ConclusionThe results suggest that the inequity that has been demonstrated in access to cardiology services by age is not likely to be due to the patient's illness behaviour as, overall, older people are more likely than younger people to be willing to consult their doctors. Keywordsaged; gender identity; heart; patient acceptance of health care.

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“…Considering that 64% attributed severity to the symptoms and 56% did not associated them with Regarding the DT and its relationship with the sociodemographic factors, the literature indicates that women and people over 70 years of age present a combination of less typical symptoms of AMI (17)(18)(19) and therefore may delay the decision to seek care. However, in this study, there was no significant association between DT, age and gender, with it being noted that the majority of the women and men suffered the infarction prior to 60 years of age and with typical symptoms of AMI.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic and clinical factors associated with the decision time for seeking care in acute myocardial infarction

Mussi

Gibaut

Damasceno³

et al. 2013

Rev. Latino-Am. Enfermagem

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OBJECTIVE: this study aimed to analyze the interaction of gender in the association between decision time for seeking healthcare services and the sociodemographic and clinical variables. METHOD: this exploratory, cross-sectional study was performed with 100 individuals interviewed in hospitals in Salvador, Bahia. The chi-square test or Fisher's exact test and the robust linear regression model were used in the analysis. A statistical significance of 5% was adopted. RESULTS: men and women presented long decision times. The decision time was less for smokers and those with constant and/or severe pain. There was an interaction between gender and smoking and between gender and pain radiating to the neck or jaw for the decision time outcome. CONCLUSION: decision times were long and were influenced by clinical and gender variables. The study provides support for nursing care practices focused on the specificity of these factors and of the genders aiming to reduce the decision time.

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Time Trends in Symptoms and Prehospital Delay Time in Women vs. Men with Myocardial Infarction Over a 15-Year Period. The Northern Sweden MONICA Study

Abstract: There were no major gender differences in prehospital delay or type of symptoms. However, over time the proportion with typical symptoms decreased in men and increased in women. Older patients had longer prehospital delay and less typical symptoms.

Cited by 62 publications

References 30 publications

Sex differences in symptom presentation in acute myocardial infarction: A systematic review and meta-analysis

Sex differences in symptom presentation in acute myocardial infarction: A systematic review and meta-analysis

Age and sex interaction in reported help seeking in response to chest pain

Sociodemographic and clinical factors associated with the decision time for seeking care in acute myocardial infarction

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