Sex- and Gender-Related Disparities in the Management of Acute Coronary Syndrome: A Mixed-Methods Study.
Aims. This study aimed to understand gender differences in the management and treatment of acute coronary syndrome in patients treated at the emergency and cardiology departments of a university hospital in Spain. Methods. A descriptive mixed-methods study was conducted, including both quantitative...
| Publicado en: | Revista de Investigación e Innovación en Ciencias de la Salud (RIICS) Vol. 8; no. 1; pp. 1 - 20 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Fundacion Universitaria Maria Cano
2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190268081&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190268081 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26652056 MLN5 jtl: Revista de Investigación e Innovación en Ciencias de la Salud (RIICS) issn: 26652056 maglogo: N pubinfo: dt: 2026 vid: 8 iid: 1 pid: 58645 pub: Fundacion Universitaria Maria Cano artinfo: ui: 190268081 190268081 190268081 10.46634/riics.467 190268081 ppf: 1 ppct: 19 formats: fmt: @attributes: type: P tig: atl: Sex- and Gender-Related Disparities in the Management of Acute Coronary Syndrome: A Mixed-Methods Study. aug: au: Ferraz-Torres, Marta Óscar, Martínez García affil: University Hospital of Navarra; Navarra, Spain. sug: subj: Healthcare Disparities Sex Factors Acute Coronary Syndrome Diagnosis Acute Coronary Syndrome Therapy Treatment Outcomes Human Male Female Middle Age Aged Aged, 80 and Over Descriptive Research Multimethod Studies Quantitative Studies Qualitative Studies Interviews Emergency Service Hospitals Spain Spain Patient Attitudes Physician Attitudes Smoking Epidemiology Hypertension Epidemiology Hyperlipidemia Epidemiology ST Elevation Myocardial Infarction Therapy Time Factors Platelet Aggregation Inhibitors Therapeutic Use Angioplasty, Balloon Methods Electrocardiography Methods Troponin Blood Creatine Kinase Blood Multivariate Analysis Sociodemographic Factors Scales Descriptive Statistics Data Analysis Software Chi Square Test T-Tests Analysis of Variance Mann-Whitney U Test Univariate Statistics Logistic Regression Odds Ratio Confidence Intervals Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Aims. This study aimed to understand gender differences in the management and treatment of acute coronary syndrome in patients treated at the emergency and cardiology departments of a university hospital in Spain. Methods. A descriptive mixed-methods study was conducted, including both quantitative and qualitative phases. Data from patients diagnosed with ACS between 2016 and 2021 were analyzed. Interviews were conducted with patients and physicians to understand their perceptions and experiences. Results. This study included 478 patients, 70.51% men and 29.49% women. Men were younger on average than women (66.43±12.79 vs. 72.54±13.94 years, p<0.001). Tobacco was the most common risk factor. Men with acute coronary syndrome with high segment T presented with elevated enzymatic markers. Women were found to have a greater delay in seeking medical help and received fewer pharmacological treatments and revascularization procedures than men did. According to the multifactorial analysis, fibrinolysis and angioplasty were performed more often in men. Despite similar symptomatology, differences were found in physicians’ perceptions of severity. Conclusions. Although symptomatology is similar between men and women, there are differences in the management and treatment of acute coronary syndrome. These findings suggest the influence of psychosocial factors in women’s delay in seeking medical help, as well as gender biases in physicians’ perceptions of severity. These results have important implications for improving equity in the care of patients with acute coronary syndrome. Objetivo. Este estudio tuvo como objetivo analizar las diferencias de género en el manejo y tratamiento del síndrome coronario agudo en pacientes atendidos en un Servicio de Urgencias y Cardiología de un hospital universitario terciario en España. Métodos. Se realizó un estudio descriptivo con metodología mixta, que incluyó fases cuantitativas y cualitativas. Se analizaron los datos de los pacientes diagnosticados de SCA entre 2016 y 2021. Se realizaron entrevistas a pacientes y médicos para conocer percepciones y experiencias. Resultados. El estudio incluyó 478 pacientes, con un 70,51% de hombres y un 29,49% de mujeres. Los hombres eran más jóvenes de media que las mujeres (66,43±12,79 vs 72,54±13,94 años, p<0,001). El tabaco fue el factor de riesgo más frecuente. Los hombres con síndrome coronario agudo con elevación del segmento ST mostraron mayores elevaciones enzimáticas. Se observó que las mujeres presentaban un mayor retraso en la búsqueda de ayuda médica y recibían menos tratamientos farmacológicos y procedimientos de revascularización que los hombres. En el análisis multifactorial, la fibrinólisis y la angioplastia fueron más frecuentes en los hombres. A pesar de una sintomatología similar, hubo diferencias en la percepción de la gravedad por parte de los médicos. Conclusiones. Existen diferencias en el manejo y tratamiento del Síndrome Coronario Agudo. Los hallazgos sugieren la influencia de factores psicosociales en el retraso de las mujeres a la hora de buscar ayuda médica, así como sesgos de género en la percepción de la gravedad por parte de los médicos, lo que condiciona la mayor morbimortalidad de las mujeres con estas patologías. Estos resultados tienen importantes implicaciones para mejorar la equidad en la atención a los pacientes con Síndrome Coronario Agudo. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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