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Centre for Policy on Ageing | |
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Gender differences in management after acute myocardial infarction
— not "sexism" but a reflection of age at presentation | | Author(s) | R Ian Williams, Alan G Fraser, Robert R West |
| Journal title | Journal of Public Health, vol 26, no 3, September 2004 |
| Pages | pp 259-263 |
| Source | http://www.jpubhealth.oupjournals.org |
| Keywords | Heart disease ; Older men ; Older women ; Medical care ; Hospital services ; Wales. |
| Annotation | A retrospective study was performed of medical records for 1,595 patients (989 men) with a diagnosis of acute myocardial infarction (MI) admitted over a 4-month period to all district general hospitals and tertiary referral centres for cardiology in Wales. Case notes were reviewed for treatment, stratification of risk factors and secondary prevention. Data were analysed for differences in treatment for men and women, and whether these could be attributed to age at presentation. Women were older than men at presentation (mean age 75, standard deviation 11, versus 66, SD 12 for men); fewer women received thrombolisis (34% vs 44%) and low molecular weight heparin (63% vs 71%); and women had higher 30-day mortality (28% vs 17%). Fewer women received cardiac catheterization, investigations to identify high risk, drugs for secondary prevention on discharge and referral to cardiac rehabilitation. However, intensities of treatment, investigation of secondary prevention were strongly related to age and, after adjusting for age, gender differences remained only for thrombolysis and exercise testing. Although women receive fewer investigations and treatments than men, this potential gender bias can be explained by age. (RH). |
| Accession Number | CPA-041130242 A |
| Classmark | CQH: BC: BD: LK: LD: 9 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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