Impact of regionalizing ST‐elevation myocardial infarction care on sex differences in reperfusion times and clinical outcomes

Autor: Karin H. Humphries, John A. Cairns, Michele Perry-Arnesen, Christopher B. Fordyce, Graham C. Wong, Terry Lee, Joel Singer, Martha Mackay, Erin Rayner-Hartley, Tara Sedlak, Cassandra Fayowski
Jazyk: angličtina
Rok vydání: 2021
Předmět:
sex differences
Male
medicine.medical_specialty
First medical contact
medicine.medical_treatment
Population
Clinical Investigations
Myocardial Reperfusion
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Percutaneous Coronary Intervention
St elevation myocardial infarction
Internal medicine
medicine
Humans
030212 general & internal medicine
Myocardial infarction
education
education.field_of_study
Sex Characteristics
business.industry
Percutaneous coronary intervention
General Medicine
ST‐elevation myocardial infarction
medicine.disease
Confidence interval
systems implementation
Treatment Outcome
Heart failure
Cohort
Reperfusion
ST Elevation Myocardial Infarction
Female
Cardiology and Cardiovascular Medicine
business
Emergency Service
Hospital
Zdroj: Clinical Cardiology
ISSN: 1932-8737
0160-9289
Popis: Background Women with ST‐elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention historically experience worse in‐hospital outcomes compared to men. Hypothesis Implementation of a regional STEMI system will reduce care gaps in reperfusion times and in‐hospital outcomes between women and men. Methods 1928 patients (413 women, 21.4%) presented with an acute STEMI between June 2007 and March 2016. The population was divided into an early cohort (n = 728 patients, 2007‐May 2011), and a late cohort (n = 1200 patients, June 2011–2016). The primary endpoints evaluated were reperfusion times and in‐hospital outcomes. Results Compared to men, women experienced significant delays in first medical contact (FMC) to arrival at the emergency room (26.0 vs. 22.0 min, p
Databáze: OpenAIRE
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