Key result
Female sex at first cardiology consult is linked to ~38% fewer cardiology hospitalizations and lower mortality.
Why the study?
Women may experience different management patterns than men in specialised care, warranting assessment of sex differences in outpatient cardiac referrals, management, and outcomes.
Are there sex differences in referral patterns, resource utilization, and clinical outcomes among patients referred for a first cardiology consultation?
Population
5,974 patients ≥18 years referred for the first time from primary care to a tertiary cardiology clinic
Comparison
Women vs men
Design
Retrospective observational analysis
Follow-up
24 months
Authors
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Fewer hospitalizations and lower mortality in referred women should not yet change practice; leaves open selection bias versus biology in sex differences.
Observational (n=5,974)
No
Are there sex differences in referral patterns, resource utilization, and clinical outcomes among patients referred for a first cardiology consultation?
Absolute Event Rate: 5.8% vs 9.3%
p-value: p=0.003
There are substantial sex differences in primary care cardiology referral patterns and outcomes, with women being referred more often for palpitations and having lower mortality but more emergency department visits than men.
Vicent et al. (2023) conducted an observational in Cardiology referral (n=5,974). Female sex vs. Male sex was evaluated on Cardiology hospitalisations (p=0.003). Women referred for a first cardiology consultation had significantly fewer cardiology hospitalizations (5.8% vs. 9.3%) and lower mortality (1.8% vs. 2.7%) compared to men over a 24-month follow-up.
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