2.50
Hdl Handle:
http://hdl.handle.net/10755/156196
Type:
Presentation
Title:
Sex Differences in Symptoms Across the Continuum of Acute Coronary Syndromes
Abstract:
Sex Differences in Symptoms Across the Continuum of Acute Coronary Syndromes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:DeVon, Holli A., PhD, RN
P.I. Institution Name:Loyola University Chicago
Title:Associate Professor
Co-Authors:Amy L. Ochs, MSN
[Research Paper or Poster Presentation] Background- Determination of sex and symptom differences in acute coronary syndromes (ACS) is important since the urgency and level of care provided partially depends upon clinical presentation. Most studies addressing sex differences in the symptoms of ACS collected symptom data secondary to an examination of prehospital delay times and treatment outcomes or abstracted data from records. Purpose- The purpose of this study was to identify sex differences in the type, severity, location, and quality of symptoms across the three clinical diagnostic categories of ACS (unstable angina, non-ST elevation myocardial infarction, and ST elevation myocardial infarction) while controlling for age, diabetes, functional status, anxiety, and depression. Methods- A convenience sample of 112 women and 144 men admitted through the emergency department and hospitalized for acute coronary syndromes participated. Recruitment took place at two urban teaching hospitals in the Midwest. Data were collected during structured interviews in the patient's hospital room. Demographic characteristics, health history, functional status, anxiety, and depressions levels were also measured. Results- Women were significantly older (67.1 vs. 62.3 years, p<.01), less likely to be married (39% vs. 64%, p<.01), and more likely to have an income under $20,000/ year (43% vs. 25%). Women reported significantly more indigestion (beta=0.25; CI=0.01-0.49), palpitations (beta=0.31; CI=0.06-0.56), nausea (beta=0.37; CI=0.10-0.65), numbness in the hands (beta=0.29; CI=0.02-0.57), and unusual fatigue (beta=0.60; CI=0.27-0.93) that did not differ across diagnosis. Sex differences in dizziness, weakness, and new onset cough did differ by diagnosis. There were no differences between women and men in reports of chest pain. Conclusions- Women reported a higher intensity of five symptoms during an episode of ACS. Significant sex differences were not found in the key symptom of chest pain. Whether differences in less typical symptoms are clinically significant remains unclear.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSex Differences in Symptoms Across the Continuum of Acute Coronary Syndromesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156196-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Sex Differences in Symptoms Across the Continuum of Acute Coronary Syndromes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">DeVon, Holli A., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Loyola University Chicago</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hdevon@luc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Amy L. Ochs, MSN</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Background- Determination of sex and symptom differences in acute coronary syndromes (ACS) is important since the urgency and level of care provided partially depends upon clinical presentation. Most studies addressing sex differences in the symptoms of ACS collected symptom data secondary to an examination of prehospital delay times and treatment outcomes or abstracted data from records. Purpose- The purpose of this study was to identify sex differences in the type, severity, location, and quality of symptoms across the three clinical diagnostic categories of ACS (unstable angina, non-ST elevation myocardial infarction, and ST elevation myocardial infarction) while controlling for age, diabetes, functional status, anxiety, and depression. Methods- A convenience sample of 112 women and 144 men admitted through the emergency department and hospitalized for acute coronary syndromes participated. Recruitment took place at two urban teaching hospitals in the Midwest. Data were collected during structured interviews in the patient's hospital room. Demographic characteristics, health history, functional status, anxiety, and depressions levels were also measured. Results- Women were significantly older (67.1 vs. 62.3 years, p&lt;.01), less likely to be married (39% vs. 64%, p&lt;.01), and more likely to have an income under $20,000/ year (43% vs. 25%). Women reported significantly more indigestion (beta=0.25; CI=0.01-0.49), palpitations (beta=0.31; CI=0.06-0.56), nausea (beta=0.37; CI=0.10-0.65), numbness in the hands (beta=0.29; CI=0.02-0.57), and unusual fatigue (beta=0.60; CI=0.27-0.93) that did not differ across diagnosis. Sex differences in dizziness, weakness, and new onset cough did differ by diagnosis. There were no differences between women and men in reports of chest pain. Conclusions- Women reported a higher intensity of five symptoms during an episode of ACS. Significant sex differences were not found in the key symptom of chest pain. Whether differences in less typical symptoms are clinically significant remains unclear.</td></tr></table>en_GB
dc.date.available2011-10-26T14:32:55Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:32:55Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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