A retrospective analysis of gender among patients admitted to a clinical decision unit at risk for acute coronary syndrome

doi:10.5847/wjem.j.1920-8642.2023.018

Abstract

Joby Thoppil, Lauren Kraut, Collin Montgomery, Wilfrido Castillo, Robert Silverman, Sanjey Gupta, Frederick Davis. A retrospective analysis of gender among patients admitted to a clinical decision unit at risk for acute coronary syndrome[J]. World Journal of Emergency Medicine, 2023, 14(2): 133-137.

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References 29

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Variables	Male (n=329)	Female (n=403)	Total (n=732)
Age, years, mean±SD	54.10±13.47 (20-88, median 55)	56.18±13.14 (22-91, median 56)
Outcomes, n (%)
Admitted	67 (20.4)	33 (8.2)	100
Discharged	262 (79.6)	370 (91.8)	632
Positive stress test	99 (30.1)	70 (17.4)	169
Taken to cath lab	45 (13.7)	12 (3.0)	57
HEART score, mean±SD	2.87±1.48	2.85±1.28
1.00, n	45	53	98
2.00, n	89	96	185
3.00, n	75	112	187
4.00, n	50	95	145
5.00, n	46	32	78
6.00, n	11	6	17

Gender	Ordered stress testing, n (%)	Positive stress testing, n	Negative stress testing, n
Male (n=329)	268 (81.5)	99	169
Female (n=403)	313 (77.7)	70	243
	χ²=1.5903, P=0.207	χ²=14.87, P<0.001

Variables	Positive stress test			Cardiac catheterization			Admission to hospital
Variables	OR	95% CI	P-value	OR	95% CI	P-value	OR	95% CI	P-value
Male	2.00	1.39-2.86	<0.001	5.69	2.89-11.19	<0.001	2.88	1.82-4.57	<0.001
HEART score
2.00	1.06	0.56-2.00	0.859	4.32	0.53-35.30	0.172	1.19	0.49-2.87	0.698
3.00	1.27	0.68-2.37	0.461	8.98	1.15-70.00	0.036	1.88	0.84-4.38	0.146
4.00	1.73	0.91-3.28	0.093	18.12	2.34-140.04	0.005	2.59	1.10-6.13	0.030
5.00	2.19	1.09-4.41	0.028	17.35	2.19-137.41	0.007	3.55	1.45-8.69	0.006
6.00	2.81	0.93-8.48	0.068	10.46	0.87-125.33	0.064	2.05	0.48-8.83	0.336

Gender	Intervention		Disposition
Gender	None	Cath Lab	Admitted	Discharged	Left AMA
Male	258	45	60	262	7
Female	367	12	31	370	2
P-value		<0.001	<0.001	<0.001

A retrospective analysis of gender among patients admitted to a clinical decision unit at risk for acute coronary syndrome

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