Evidence map›Paper›PMID 7916228›Full record

ArticleBMJ (Clinical research ed.)1994

Do women with acute myocardial infarction receive the same treatment as men?

K W Clarke, D Gray, N A Keating, J R Hampton

Abstract read
In one paragraph

Article in BMJ (Clinical research ed.), 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
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

34 citing papers in PubMed.

  1. External validity of the "all-comers" design: insights from the BIOSCIENCE trial.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    Trial
  2. Presentations of acute myocardial infarction in men and women.Journal of general internal medicine · 1997
    Trial
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  16. Sex inequalities in access to care for patients with diabetes in primary care: questionnaire survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

K W ClarkeUniversity Hospital, Nottingham.
D Gray
N A Keating
J R Hampton

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether women with acute myocardial infarction in the Nottingham health district receive the same therapeutic interventions as their male counterparts.

designRetrospective study.

settingUniversity and City Hospitals, Nottingham. PATIENTS: All patients admitted with a suspected myocardial infarction during 1989 and 1990.

main outcome measuresRoute and timing of admission to hospital, ward of admission, treatment, interventions in hospital, and mortality.

resultsWomen with myocardial infarction took longer to arrive in hospital than men. They were less likely to be admitted to the coronary care unit and were therefore also less likely to receive thrombolytic treatment. They seemed to have more severe infarcts, with higher Killip classes, and had a slightly higher mortality during admission. They were less likely than men to receive secondary prophylaxis by being discharged taking beta blockers or aspirin.

conclusionsSurvival chances both in hospital and after discharge in women with acute myocardial infarction are reduced because they do not have the same opportunity for therapeutic intervention as men.

Indexed as

Patient SelectionAdrenergic beta-AntagonistsAdultAftercareAgedAge FactorsAspirinCoronary Care UnitsFemaleHospital MortalityHumansMaleMiddle AgedMyocardial InfarctionPatient AdmissionRetrospective StudiesAdrenergic beta-AntagonistsAspirinEmpirical ApproachNottinghamProfessional Patient Relationship

Identifiers

PMID7916228
PMCPMC2541441

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.