Gender and stress test use in an ED chest pain unit

Anthony Napoli, Esther Choo

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Women with acute coronary syndrome appear to be treated less aggressively than men. However, little is known about potential sex biases in the evaluation of patients with low-risk chest pain admitted to emergency department (ED) chest pain units. Methods: This was a secondary analysis of prospectively collected data on consecutively admitted chest pain unit patients in a large-volume academic urban ED. Thrombolysis in myocardial infarction (TIMI) risk prediction and Diamond and Forrestor (D&F) scores were calculated for each patient. χ 2 And t tests were used for univariate comparisons of demographics, cardiac comorbidities, risk scores, and stress testing between sexes. Multivariable logistic regression was used to estimate odds ratios (ORs) for testing based on sex, controlling for race, insurance status, and either TIMI or D&F score. Results: Eight hundred eleven patients were enrolled (48% male, 52% female) in the study. The mean age for men was 52 ± 12 and 54 ± 12 years for women (P

Original languageEnglish (US)
Pages (from-to)890-895
Number of pages6
JournalAmerican Journal of Emergency Medicine
Volume30
Issue number6
DOIs
StatePublished - Jul 2012
Externally publishedYes

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Chest Pain
Exercise Test
Hospital Emergency Service
Myocardial Infarction
Sexism
Diamond
Insurance Coverage
Acute Coronary Syndrome
Comorbidity
Logistic Models
Odds Ratio
Demography

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Gender and stress test use in an ED chest pain unit. / Napoli, Anthony; Choo, Esther.

In: American Journal of Emergency Medicine, Vol. 30, No. 6, 07.2012, p. 890-895.

Research output: Contribution to journalArticle

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