Titre :
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Gender differences in clinical status at time of coronary revascularisation in Spain. (2002)
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Auteurs :
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M.D. AGUILAR ;
K. FITCH ;
P. LAZARO ;
S. LUENGO ;
Técnicas Avanzadas de Investigacion en Servicios de Salud. Sl Taiss Madrid. ESP
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Type de document :
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Article
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Dans :
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Journal of epidemiology and community health (vol. 56, n° 7, 2002)
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Pagination :
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555-559
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Langues:
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Anglais
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Mots-clés :
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Cardiopathie coronaire
;
Sexe
;
Facteur risque
;
Epidémiologie
;
Evaluation
;
Utilisation
;
Utilisation service
;
Homme
;
Espagne
;
Europe
;
Chirurgie cardiovasculaire
;
Appareil circulatoire [pathologie]
;
Chirurgie
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Résumé :
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[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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