What does this research mean for the field?

Physician practice patterns in the pharmacologic treatment of men and women hospitalized with acute myocardial infarction are largely similar, despite minor differences in the use of specific agents such as diuretics and antiplatelets. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This study examines gender differences in the use and temporal trends of treatments for acute myocardial infarction.

March 8, 1993Archives of Internal Medicine

Gender differences in the treatment of patients with acute myocardial infarction. A multihospital, community-based perspective

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Why the study?

Are there gender differences in the utilization rates of various pharmacologic therapies for acute myocardial infarction?

Population

5,480 patients hospitalized with validated acute myocardial infarction in 16 hospitals in the Worcester…

Comparison

Pharmacologic treatment for acute myocardial… vs Comparison between men and women.

Design

Cohort

Authors

PPP. R. Pagley

Discussion

Member takes

Implication

Patterns of AMI pharmacotherapy are largely similar by sex; leaves open reasons for and impact of select differences.

Key Points

This study examines gender differences in the use and temporal trends of treatments for acute myocardial infarction.
Nonconcurrent prospective study design
Involved 3,361 men and 2,119 women hospitalized from 1975 to 1990 in 16 hospitals
Utilized logistic regression analysis to control for patient-related factors affecting treatment patterns.
Women were more likely to receive diuretics during hospitalization (specific rates not provided)
Men were more likely to receive antiplatelet agents and antiarrhythmic agents (specific rates not provided)
Overall treatment patterns between genders were found to be very similar.

Structured PICO

Are there gender differences in the utilization rates of various pharmacologic therapies for acute myocardial infarction?

Population

5,480 patients (3,361 men and 2,119 women) hospitalized with validated acute myocardial infarction in 16 hospitals in the Worcester, Mass, metropolitan area during 1975, 1978, 1981, 1984, 1986, 1988, and 1990.

Intervention

Pharmacologic treatment for acute myocardial infarction (including diuretics, antiplatelets, antiarrhythmics, anticoagulants, beta-blockers, calcium channel blockers, digoxin, nitrates, and thrombolytics).

Comparator

Comparison between men and women.

Outcome

Differences between the sexes in overall utilization rates and changes over time of various therapies used in the management of acute myocardial infarction.

This observational study suggests that physician practice patterns in the pharmacologic treatment of men and women hospitalized with acute myocardial infarction are largely similar, despite some differences in specific drug classes.

Cite This Study

P. R. Pagley (1993) studied this question.

synapsesocial.com/papers/6a15650f9b87f33fc69f8528 https://doi.org/10.1001/archinte.153.5.625

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Gender differences in the treatment of patients with acute myocardial infarction. A multihospital, community-based perspective

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Gender differences in the treatment of patients with acute myocardial infarction. A multihospital, community-based perspective

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider