Journal article
Gender Bias in the Evaluation and Management of Acute Nontraumatic Chest Pain
Family Practice Research Journal, Vol.12(4), pp.383-389
1992
Abstract
BACKGROUND: Prior studies suggest a gender-based difference in the management of myocardial ischemia in nonacute settings. We examined whether there was a gender difference in the emergency department evaluation and management of patients with acute chest pain. METHODS: A record review from 10 St. Louis metropolitan emergency departments was done on all patients over 35 years old who presented with acute nonpleuritic, nontraumatic chest pain. We reviewed for the presence of cardiac riskfactors, prior cardiac disease, time to physician evaluation, and time to initial electrocardiogram. In the patient subgroup admittedfrom the emergency department with a diagnosis of myocardial infarction or unstable angina, disposition was noted. RESULTS: Women waited longer than men for an initial physician evaluation and an initial electrocardiogram. In the patient subgroup with acute myocardial is-chemia, a smaller percentage of women than men (56.0% vs 82.8%) were admitted to an intensive care unit. CONCLUSION: In patients with acute non-pleuritic, nontraumatic chest pain. women were evaluated and managed less aggressively than men.
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Details
- Title
- Gender Bias in the Evaluation and Management of Acute Nontraumatic Chest Pain
- Creators
- Thomas F. Heston (Author) - Washington State University, Elson S. Floyd College of Medicine
- Publication Details
- Family Practice Research Journal, Vol.12(4), pp.383-389
- Academic Unit
- Elson S. Floyd College of Medicine
- Identifiers
- 99901107735901842
- Language
- English
- Resource Type
- Journal article