2026-04-18T23:37:38Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/165702024-09-27T08:35:20Zcom_20.500.12105_19604com_20.500.12105_2051col_20.500.12105_19605
Repisalud
author
Vicent, Lourdes
author
Rosillo, Nicolás
author
Moreno, Guillermo
author
Salguero-Bodes, Rafael
author
Goñi, Clara
author
Bernal, José Luis
author
Seara, Germán
author
Bueno, Hector
funder
Sociedad Española de Cardiología
funder
Fundación Española del Corazón
funder
Instituto de Salud Carlos III
2023-10-17T08:12:30Z
2023-10-17T08:12:30Z
2023
Front Cardiovasc Med. 2023 Jul 31:10:1202960.
2297-055X
http://hdl.handle.net/20.500.12105/16570
37588036
10.3389/fcvm.2023.1202960
Frontiers in cardiovascular medicine
AIMS
Women may have different management patterns than men in specialised care. Our aim was to assess potential sex differences in referral, management and outcomes of patients attending outpatient cardiac consultations.
METHODS AND RESULTS
Retrospective observational analysis of patients ≥18 years referred for the first time from primary care to a tertiary hospital cardiology clinic in 2017-2018, comparing reasons for referral, decisions and post-visit outcomes by sex.A total of 5,974 patients, 2,452 (41.0%) men aged 59.2 ± 18.6 years and 3,522 (59.0%) women aged 64.5 ± 17.9 years (P < 0.001) were referred for a first cardiology consultation. The age-related referral rates were higher in women. The most common reasons for consultation were palpitations in women (n = 676; 19.2%) and ECG abnormalities in men (n = 570; 23.2%). Delays to cardiology visits and additional tests were similar. During 24 months of follow-up, women had fewer cardiology hospitalisations (204; 5.8% vs. 229; 9.3%; P = 0.003) and lower mortality (65; 1.8% vs. 66; 2.7%; P = 0.028), but those aged <65 years had more emergency department visits (756; 48.5% vs. 560; 39.9%, P < 0.001) than men.
CONCLUSION
There are substantial sex differences in primary care cardiology referral patterns, including causes, rates, decisions and outcomes, which are only partially explained by age differences. Further research is needed to understand the reasons for these differences.
eng
Sex differences in patterns of referral and resource utilization in the cardiology clinic: an outpatient analysis.
journal article
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Sex differences in patterns_Front Cardiovasc Med_2023.pdf
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Sex differences in patterns_Front Cardiovasc Med_2023.pdf.txt