| Titre : | Gender differences in clinical status at time of coronary revascularisation in Spain. (2002) |
| Auteurs : | M.D. AGUILAR ; K. FITCH ; P. LAZARO ; S. LUENGO ; Técnicas Avanzadas de Investigacion en Servicios de Salud. Sl Taiss Madrid. ESP |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 56, n° 7, 2002) |
| Pagination : | 555-559 |
| Langues: | Anglais |
| Mots-clés : | Cardiopathie coronaire ; Sexe ; Facteur risque ; Epidémiologie ; Evaluation ; Utilisation ; Utilisation service ; Homme ; Espagne ; Europe ; Chirurgie cardiovasculaire ; Appareil circulatoire [pathologie] ; Chirurgie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 9NC3R0xP. Diffusion soumise à autorisation]. Objective : To study gender differences in clinical status at the time of coronary revascularisation. Design : Retrospective study of clinical records. Two stage stratified cluster sampling was used to select a nationally representative sample of patients receiving a coronary revascularisation procedure in 1997. Setting : All of Spain. Main outcome measures : Odds ratios (OR) in men and women for different clinical and diagnostic variables related with coronary disease. A logistic regression model was developed to estimate the association between coronary symptoms and gender. Results : In the univariate analysis the prevalence of the following risk factors for coronary heart disease was higher in women than in men : obesity (OR=1.8), hypertension (OR=2.9) and diabetes (OR=2.1). High surgical risk was also more prevalent among women (OR=2.6). In the logistic regression analysis women's risk of being symptomatic at the time of revascularisation was more than double that of men (OR=2.4). Conclusions : Women have more severe coronary symptoms at the time of coronary revascularisation than do men. These results suggest that women receive revascularisation at a more advanced stage of coronary disease. Further research is needed to clarify what social, cultural or biological factors may be implicated in the gender differences observed. |
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