Evidence map›Paper›PMID 31822652›Full record

Observational studyRevista espanola de salud publica2019

[Inequality in the management of ischemic chest pain in the emergency department from a gender perspective].

María Pérez Corral, Fernando Urcola Pardo, Mª Teresa Fernández Rodrigo, Eva Benito Ruiz, Pedro José Satústegui Dordá

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Revista espanola de salud publica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 77% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

María Pérez CorralServicio de Urgencias. Hospital Universitario Miguel Servet. Zaragoza. España.
Fernando Urcola PardoFacultad de Ciencias de la Salud. Universidad de Zaragoza. Zaragoza. España.
Mª Teresa Fernández RodrigoFacultad de Ciencias de la Salud. Universidad de Zaragoza. Zaragoza. España.
Eva Benito RuizFacultad de Ciencias de la Salud. Universidad de Zaragoza. Zaragoza. España.
Pedro José Satústegui DordáFacultad de Ciencias de la Salud. Universidad de Zaragoza. Zaragoza. España.
Universidad de Zaragoza · ESHospital Universitario Miguel Servet · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSex is a determining factor in the differences with which men and women are treated in the emergency room. The objective was to analyze the profile in patients with chest paint attended in emergency department, and the gender inequalities in the diagnosis and treatment.

methodsDescriptive observational study of patients, who attended to the Miguel Servet University Hospital emergency department, with ischemic chest pain during 2017. Sociodemographic and clinical variables of treatment and evolution were analyzed. Bivariate and multivariate analysis was performed through the statistical program SPSS.

results351 cases were registered (235 men and 116 women). The women were older (median age 75.5 years, against, 71.4 years in men, p=0.003), went to the hospital during summer time (p=0.021) and took most often of benzodiazepines (p=0.001), antidepressants (p<0.001) and diuretics drugs (p=0.039). The women had greater proportion of arterial hypertension (p=0.001). The men came more to the emergency department during autumn period (p=0.008), and had more history of ischemic heart disease (p=0.003) and percutaneous coronary intervention (p<0.001). The time of completion of the first electrocardiogram was greater in women (p<0.001), and were diagnosed with a higher frequency of atypical chest pain (p=0.003), unlike men, more diagnosed of acute coronary syndrome (p=0.028) and subjected to invasive treatment (p<0.001).

conclusionsThere are differences according to sex in the antecedents, delay in performing the first electrocardiogram and use of invasive treatment. Its consideration from the emergency department, without influence of value judgments and with the determination of values disaggregated by sex, can improve the attention and evolution of these patients.

Indexed as

Emergency Service, HospitalAcute Coronary SyndromeAgedChest PainDelayed DiagnosisElectrocardiographyFemaleHealthcare DisparitiesHumansMaleMiddle AgedMyocardial InfarctionPractice Patterns, Physicians'Retrospective StudiesSex FactorsSexismAcute coronary syndromeChest painEmergency serviceGenderMyocardial infarctionSpain

Identifiers

PMID31822652
PMCPMC11583144
OpenAlexW2997321233

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.