Gender differences in management and outcome in non-ST-elevation acute coronary syndrome
Why the study?
Are there gender differences in management and mortality outcomes in patients with non-ST-elevation acute coronary syndrome?
Population
53,781 consecutive patients with unstable angina pectoris or non-ST-elevation myocardial infarction admitted…
Comparison
Female gender vs Male gender
Design
Cohort
Follow-up
1 year
Authors
Discussion
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Member takes
Implication
Sex differences in NSTE-ACS revascularization and mortality should not yet change practice; leaves open whether targeted trials can identify equitable strategies.
Structured PICO
Are there gender differences in management and mortality outcomes in patients with non-ST-elevation acute coronary syndrome?
P
Population
53,781 consecutive patients (37% women) with unstable angina pectoris or non-ST-elevation myocardial infarction admitted to intensive coronary care units in Sweden between 1998 and 2002.
I
Intervention
Female gender
C
Comparator
Male gender
O
Outcome
Treatment intensity and in-hospital, 30-day, and 1-year mortalityhard clinical
Despite receiving somewhat less intensive invasive treatment, women with NSTE-ACS have better long-term survival than men after adjusting for baseline differences.
Cite This Study
Alfredsson et al. (2006) studied this question.