Análisis de la Cardiopatía Isquémica y de Factores Relacionados con el Tratamiento en Urgencias Desigualdad de GÉnero en la ActuaciÓn Sanitaria

Introduction: epidemiological studies confirm the difference in the course and treatment of acute coronary syndromes (ACS) according to factors such sex and age. The factors associated with the differences observed according to sex are not known. The study seeks to examine the differences in the treatment of coronary artery disease by sex and possible factors related to these inequalities.Design and methods: Analytical combined study of a prospective nature of the patients diagnosed with ACS who were treated in the HES (Hospital Emergency Service) Hospital Complex of Navarra, Spain, reference center for coronary artery disease, over 16 months, from 1 January 2012 to April 2013.Results: 596 cases were studied. 71.8% (428) were men and the remaining 28.2% (168) were women. The mean age of the men was 66.43±12.79 and the mean age of the women 72.54±13.94. Were found less administration in women of antiplatelet (68.4% vs. 22.7%), blockers (70% vs. 25.4%), ACE inhibitors (56.2% vs. 15.6%), fibrinolysis (17.2% vs 4.5%), primary angioplasty (38.7% vs 16.3%), rescue angioplasty (9.7% vs 3.4%) and a revascularisation surgery level (6.7% vs. 0.9%). Further delay was observed in the demand for health care in women with ACS than in males.Conclusions: there is a correlation between the difference in treatment given and sex. These differences are not justified by the differences in age or the severity of the process but is seen the delay solitude of health care in women as a biggest factor relates. Also detected request voluntary discharge in women affected by ACS. Delays in seeking medical care or voluntary discharge are possible factors related to worse outcomes in women.