Gender Disparities in Patients’ Decisions about the Management of Myocardial Infarction in East Chinese Province
Background. Previous studies showed that there are gender disparities in various respects of acute myocardial infarction (AMI), including risk factors, symptoms, and outcomes. However, few of them noticed the gender disparities in patients’ decision about the management of AMI, which might also be a...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2023-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2023/8220308 |
| _version_ | 1797392263295270912 |
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| author | Chaobin Lou Tao Xu Fangying Dong Yangmiao Xu Muhua Zhang Shudong Xia Yinchuan Xu Chao Feng |
| author_facet | Chaobin Lou Tao Xu Fangying Dong Yangmiao Xu Muhua Zhang Shudong Xia Yinchuan Xu Chao Feng |
| author_sort | Chaobin Lou |
| collection | DOAJ |
| description | Background. Previous studies showed that there are gender disparities in various respects of acute myocardial infarction (AMI), including risk factors, symptoms, and outcomes. However, few of them noticed the gender disparities in patients’ decision about the management of AMI, which might also be associated with the outcome. Aims. To identify gender disparities in patients’ decisions about the management of myocardial infarction. Methods. In this cohort study, the critical time points including the time of symptom onset, visiting hospital, diagnosis of AMI, consent to coronary angiography (CAG), beginning of CAG, and balloon dilation were recorded. Medication and major adverse cardiac event (MACE) within 6 months were also recorded. Results. Female patients took more time from symptom onset to visiting hospital (P=0.001), from diagnosis of AMI to consent to CAG (P<0.05), and from door to needle/balloon than male (P<0.05). Less female patients accepted CAG (P<0.05) and coronary intervention/bypass grafting (P<0.05). Less female patients kept good inherence to antiplatelet therapy (P<0.05) and statins (P<0.05) than male, more female preferred traditional Chinese medicine (TCM) than male patient (P<0.05), and most of them had MACE within 6 months (P<0.05). Patients’ good adherence to antiplatelet therapy and statins and accepting coronary intervention/bypass grafting were associated with a reduced risk of MACE. Conclusion. Female patients were more reluctant to make decisions about emergency management of AMI and tended to choose conservative treatment. More female patients preferred TCM than evidence-based medicine. Their reluctance about the critical management of AMI and poor adherence to evidence-based medicine were associated with an elevated risk of MACE. |
| first_indexed | 2024-03-08T23:44:44Z |
| format | Article |
| id | doaj.art-6d3030bcaa704efb8605e6fdf2689f9a |
| institution | Directory Open Access Journal |
| issn | 2090-2859 |
| language | English |
| last_indexed | 2024-03-08T23:44:44Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj.art-6d3030bcaa704efb8605e6fdf2689f9a2023-12-14T00:00:09ZengHindawi LimitedEmergency Medicine International2090-28592023-01-01202310.1155/2023/8220308Gender Disparities in Patients’ Decisions about the Management of Myocardial Infarction in East Chinese ProvinceChaobin Lou0Tao Xu1Fangying Dong2Yangmiao Xu3Muhua Zhang4Shudong Xia5Yinchuan Xu6Chao Feng7Department of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyBackground. Previous studies showed that there are gender disparities in various respects of acute myocardial infarction (AMI), including risk factors, symptoms, and outcomes. However, few of them noticed the gender disparities in patients’ decision about the management of AMI, which might also be associated with the outcome. Aims. To identify gender disparities in patients’ decisions about the management of myocardial infarction. Methods. In this cohort study, the critical time points including the time of symptom onset, visiting hospital, diagnosis of AMI, consent to coronary angiography (CAG), beginning of CAG, and balloon dilation were recorded. Medication and major adverse cardiac event (MACE) within 6 months were also recorded. Results. Female patients took more time from symptom onset to visiting hospital (P=0.001), from diagnosis of AMI to consent to CAG (P<0.05), and from door to needle/balloon than male (P<0.05). Less female patients accepted CAG (P<0.05) and coronary intervention/bypass grafting (P<0.05). Less female patients kept good inherence to antiplatelet therapy (P<0.05) and statins (P<0.05) than male, more female preferred traditional Chinese medicine (TCM) than male patient (P<0.05), and most of them had MACE within 6 months (P<0.05). Patients’ good adherence to antiplatelet therapy and statins and accepting coronary intervention/bypass grafting were associated with a reduced risk of MACE. Conclusion. Female patients were more reluctant to make decisions about emergency management of AMI and tended to choose conservative treatment. More female patients preferred TCM than evidence-based medicine. Their reluctance about the critical management of AMI and poor adherence to evidence-based medicine were associated with an elevated risk of MACE.http://dx.doi.org/10.1155/2023/8220308 |
| spellingShingle | Chaobin Lou Tao Xu Fangying Dong Yangmiao Xu Muhua Zhang Shudong Xia Yinchuan Xu Chao Feng Gender Disparities in Patients’ Decisions about the Management of Myocardial Infarction in East Chinese Province Emergency Medicine International |
| title | Gender Disparities in Patients’ Decisions about the Management of Myocardial Infarction in East Chinese Province |
| title_full | Gender Disparities in Patients’ Decisions about the Management of Myocardial Infarction in East Chinese Province |
| title_fullStr | Gender Disparities in Patients’ Decisions about the Management of Myocardial Infarction in East Chinese Province |
| title_full_unstemmed | Gender Disparities in Patients’ Decisions about the Management of Myocardial Infarction in East Chinese Province |
| title_short | Gender Disparities in Patients’ Decisions about the Management of Myocardial Infarction in East Chinese Province |
| title_sort | gender disparities in patients decisions about the management of myocardial infarction in east chinese province |
| url | http://dx.doi.org/10.1155/2023/8220308 |
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