Time-trends in thrombolytics: women are catching up.

• Reports on gender differences in the management of acute coronary syndromes indicate that women do not receive as much active treatment as men. Other conflicting findings have also been published. To investigate whether previously reported gender differences in the treatment of acute myocardial infarction (AMI) still persist, we included all patients admitted to our coronary care unit (CCU) in 1984-1995, and discharged with a diagnosis of AMI, in a retrospective study. A total of 1991 female admissions was compared with 4067 male admissions. The time-span was divided into two-year periods comprising approximately 1000 patients each. During one period, 1988 to 1989, women received significantly less thrombolytic therapy which, however, could reflect that women admitted with AMI were older than men. Analysis of time-trends showed a significant increase in the use of thrombolytic treatment in women and elderly men. In clinical praxis there has been a gender-gap in acute treatment of AMI, but age-dependent or not, this is now no longer apparent.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Nyckelord

Age Factors

Aged

Aged

80 and over

Chi-Square Distribution

Female

Fibrinolytic Agents

therapeutic use

Humans

Logistic Models

Male

Myocardial Infarction

drug therapy

Retrospective Studies

Sex Factors

Statistics

Nonparametric

Sweden

Thrombolytic Therapy

statistics & numerical data

trends

Time Factors

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)