Citation
Blomkalns, Andra L., et al. "Gender Disparities in the Diagnosis and Treatment of non-ST-segment Elevation Acute Coronary Syndromes: Large-scale Observations From the CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of the American College of Cardiology/American Heart Association Guidelines) National Quality Improvement Initiative." Journal of the American College of Cardiology, vol. 45, no. 6, 2005, pp. 832-7.
Blomkalns AL, Chen AY, Hochman JS, et al. Gender disparities in the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes: large-scale observations from the CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of the American College of Cardiology/American Heart Association Guidelines) National Quality Improvement Initiative. J Am Coll Cardiol. 2005;45(6):832-7.
Blomkalns, A. L., Chen, A. Y., Hochman, J. S., Peterson, E. D., Trynosky, K., Diercks, D. B., Brogan, G. X., Boden, W. E., Roe, M. T., Ohman, E. M., Gibler, W. B., & Newby, L. K. (2005). Gender disparities in the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes: large-scale observations from the CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of the American College of Cardiology/American Heart Association Guidelines) National Quality Improvement Initiative. Journal of the American College of Cardiology, 45(6), 832-7.
Blomkalns AL, et al. Gender Disparities in the Diagnosis and Treatment of non-ST-segment Elevation Acute Coronary Syndromes: Large-scale Observations From the CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of the American College of Cardiology/American Heart Association Guidelines) National Quality Improvement Initiative. J Am Coll Cardiol. 2005 Mar 15;45(6):832-7. PubMed PMID: 15766815.
TY - JOUR
T1 - Gender disparities in the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes: large-scale observations from the CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of the American College of Cardiology/American Heart Association Guidelines) National Quality Improvement Initiative.
AU - Blomkalns,Andra L,
AU - Chen,Anita Y,
AU - Hochman,Judith S,
AU - Peterson,Eric D,
AU - Trynosky,Kelly,
AU - Diercks,Deborah B,
AU - Brogan,Gerard X,Jr
AU - Boden,William E,
AU - Roe,Matthew T,
AU - Ohman,E Magnus,
AU - Gibler,W Brian,
AU - Newby,L Kristin,
AU - ,,
PY - 2004/07/20/received
PY - 2004/11/22/revised
PY - 2004/11/29/accepted
PY - 2005/3/16/pubmed
PY - 2005/6/29/medline
PY - 2005/3/16/entrez
SP - 832
EP - 7
JF - Journal of the American College of Cardiology
JO - J Am Coll Cardiol
VL - 45
IS - 6
N2 - OBJECTIVES: We hypothesized that significant disparities in gender exist in the management of patients with non-ST-segment elevation (NSTE) acute coronary syndromes (ACS). BACKGROUND: Gender-related differences in the diagnosis and treatment of ACS have important healthcare implications. No large-scale examination of these disparities has been completed since the publication of the revised American College of Cardiology/American Heart Association guidelines for management of patients with NSTE ACS. METHODS: Using data from the CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation of the American College of Cardiology/American Heart Association Guidelines) National Quality Improvement Initiative, we examined differences of gender in treatment and outcomes among patients with NSTE ACS. RESULTS: Women (41% of 35,875 patients) were older (median age 73 vs. 65 years) and more often had diabetes and hypertension. Women were less likely to receive acute heparin, angiotensin-converting enzyme inhibitors, and glycoprotein IIb/IIIa inhibitors and less commonly received aspirin, angiotensin-converting enzyme inhibitors, and statins at discharge. The use of cardiac catheterization and revascularization was higher in men, but among patients with significant coronary disease, percutaneous revascularization was performed in a similar proportion of women and men. Women were at higher risk for unadjusted in-hospital death (5.6% vs. 4.3%), reinfarction (4.0% vs. 3.5%), heart failure (12.1% vs. 8.8%), stroke (1.1% vs. 0.8%), and red blood cell transfusion (17.2% vs. 13.2%), but after adjustment, only transfusion was higher in women. CONCLUSIONS: Despite presenting with higher risk characteristics and having higher in-hospital risk, women with NSTE ACS are treated less aggressively than men.
SN - 0735-1097
UR - https://www.unboundmedicine.com/medline/citation/15766815/Gender_disparities_in_the_diagnosis_and_treatment_of_non_ST_segment_elevation_acute_coronary_syndromes:_large_scale_observations_from_the_CRUSADE__Can_Rapid_Risk_Stratification_of_Unstable_Angina_Patients_Suppress_Adverse_Outcomes_With_Early_Implementation_of_the_American_College_of_Cardiology/American_Heart_Association_Guidelines__National_Quality_Improvement_Initiative_
L2 - https://linkinghub.elsevier.com/retrieve/pii/S0735-1097(04)02506-9
DB - PRIME
DP - Unbound Medicine
ER -