Abstract:
OBJECTIVES:The aim of this study was to quantify sex differences in diagnostic and revascularisation coronary procedures within 1 year of hospitalisation for acute myocardial infarction (AMI) or angina. DESIGN:This is a prospective cohort study. Baseline questionnaire (January 2006-April 2009) data from the Sax Institute's 45 and Up Study were linked to hospitalisation and mortality data (to 30 June 2016) in a time-to-event analysis, treating death as a censoring event. SETTING:This was conducted in New South Wales, Australia. PARTICIPANTS:The study included participants aged ≥45 years with no history of ischaemic heart disease (IHD) who were admitted to hospital with a primary diagnosis of AMI (n=4580) or a primary diagnosis of angina or chronic IHD with secondary diagnosis of angina (n=4457). OUTCOME MEASURES:The outcome of this study was coronary angiography and coronary revascularisation with percutaneous coronary intervention or coronary artery bypass graft (PCI/CABG) within 1 year of index admission. Cox regression models compared coronary procedure rates in men and women, adjusting sequentially for age, sociodemographic variables and health characteristics. RESULTS:Among patients with AMI, 71.6% of men (crude rate 3.45/person-year) and 64.7% of women (2.62/person-year) received angiography; 57.8% of men (1.73/person-year) and 37.4% of women (0.77/person-year) received PCI/CABG. Adjusted HRs for men versus women were 1.00 (0.92-1.08) for angiography and 1.51 (1.38-1.67) for PCI/CABG. In the angina group, 67.3% of men (crude rate 2.36/person-year) and 54.9% of women (1.32/person-year) received angiography; 44.6% of men (0.90/person-year) and 19.5% of women (0.26/person-year) received PCI/CABG. Adjusted HRs were 1.24 (1.14-1.34) and 2.44 (2.16-2.75), respectively. CONCLUSIONS:Men are more likely than women to receive coronary procedures, particularly revascularisation. This difference is most evident among people with angina, where clinical guidelines are less prescriptive than for AMI.
journal_name
BMJ Openjournal_title
BMJ openauthors
Fogg AJ,Welsh J,Banks E,Abhayaratna W,Korda RJdoi
10.1136/bmjopen-2018-026507subject
Has Abstractpub_date
2019-07-23 00:00:00pages
e026507issue
7issn
2044-6055pii
bmjopen-2018-026507journal_volume
9pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:High rates of immigration pose challenges for the healthcare systems of many countries to offer high-quality care to diverse populations. Advancing health interventions with incorporating the cultural background of diverse populations can be helpful to overcome this challenge. First studies suggest that cu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037698
更新日期:2020-11-09 00:00:00
abstract:OBJECTIVES:To engage children and young people with conditions that impair learning, their parents/carers and the health, education, social work and third sector professionals to identify and prioritise research questions for learning difficulties. DESIGN:Prospective surveys and consensus meeting guided by methods adv...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028780
更新日期:2019-10-30 00:00:00
abstract:OBJECTIVES:In recent years, large-scale longitudinal neuroimaging studies have improved our understanding of healthy ageing and pathologies including Alzheimer's disease (AD). A particular focus of these studies is group differences and identification of participants at risk of deteriorating to a worse diagnosis. For t...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012174
更新日期:2017-02-07 00:00:00
abstract:OBJECTIVE:To determine the relationship between biomarkers of exposure, disease and susceptibility, and early health effects and long-term diseases related to occupational manganese (Mn) exposure. DESIGN:Baseline survey of a longitudinal cohort study of workers in a ferromanganese refinery. PARTICIPANTS:A total of 18...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005070
更新日期:2014-07-03 00:00:00
abstract:OBJECTIVE:The COVID-19 pandemic has set unprecedented demand on the healthcare workforce around the world. The UK has been one of the most affected countries in Europe. The aim of this study was to explore the perceptions and experiences of healthcare workers (HCWs) in relation to COVID-19 and care delivery models impl...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040503
更新日期:2020-11-05 00:00:00
abstract:OBJECTIVES:Food insecurity is 'the limited or uncertain availability of nutritionally adequate, safe foods or inability to acquire foods in socially acceptable ways'. Majority of tuberculosis (TB) cases of resource-poor settings experience food insecurity, which impacts treatment adherence and outcomes. We aimed to det...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033798
更新日期:2020-02-28 00:00:00
abstract:OBJECTIVE:Most of the Chinese occupational population are becoming at risk of noise-induced hearing loss (NIHL). However, there is a limited number of literature reviews on occupational NIHL in China. This study aimed to analyse the prevalence and characteristics of occupational NIHL in the Chinese population using dat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039576
更新日期:2020-09-28 00:00:00
abstract:INTRODUCTION:The diabetes mellitus (DM) epidemic is a major public health concern globally, with the highest-burden in low-income and middle-income countries (LMICs). Diabetic retinopathy (DR) is a microvascular complication of diabetes, and if left untreated can lead to visual impairment and blindness. Epidemiological...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038647
更新日期:2020-09-18 00:00:00
abstract:OBJECTIVES:Identifying the issues and concerns that matter most to burns survivors can be challenging. For a number of reasons, but mainly relating to patient empowerment, some of the most pressing concerns patients may have during a clinical encounter may not naturally be the focal point of that encounter. The Patient...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032785
更新日期:2019-12-30 00:00:00
abstract:OBJECTIVE:To appraise and synthesise research on the impact of physician assistants/associates (PA) in secondary care, specifically acute internal medicine, care of the elderly, emergency medicine, trauma and orthopaedics, and mental health. DESIGN:Systematic review. SETTING:Electronic databases (Medline, Embase, ASS...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019573
更新日期:2018-06-19 00:00:00
abstract:OBJECTIVES:To objectively measure the amount of intensity-specific physical activity by gender and age with respect to body mass index (BMI) during workdays and days off among Finnish employees. DESIGN:A cross-sectional study. SETTING:Primary care occupational healthcare units. PARTICIPANTS:A sample of 9554 Finnish ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005927
更新日期:2014-12-10 00:00:00
abstract:OBJECTIVES:To investigate the early information needs of women with a recent diagnosis of breast cancer (BC) according to their employment status. DESIGN:Cross-sectional. SETTING:Secondary-care patients attending three outpatient oncology clinics in northern Italy. PARTICIPANTS:377 women with a recent diagnosis of e...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038543
更新日期:2020-09-29 00:00:00
abstract:OBJECTIVES:To investigate medical student's self-efficacy at the time of finishing their rural clinical school (RCS) placement and factors associated with self-efficacy. Secondary aims are to explore whether interest levels or self-efficacy are associated with rural or remote career intentions. DESIGN, SETTING AND PAR...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009574
更新日期:2015-12-15 00:00:00
abstract:OBJECTIVE:To determine factors and outcomes associated with ultra-early surgery for poor-grade aneurysmal subarachnoid haemorrhage (aSAH). DESIGN:A multicentre retrospective analysis, observational study. SETTING:High-volume teaching hospitals (more than 150 aSAH cases per year). PARTICIPANTS:118 patients with World...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2014-007410
更新日期:2015-04-15 00:00:00
abstract:OBJECTIVES:This study aimed to assess the knowledge of risk factors and warning symptoms and attitude towards gastric cancer screening among the general population in China. SETTING:Hunan province, China PARTICIPANTS: Individuals aged older than 18 years were recruited using a cluster sampling method. DESIGN:A cross-...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029638
更新日期:2019-07-23 00:00:00
abstract:INTRODUCTION:Delirium is frequently observed in the intensive care unit (ICU) population, in particular. Until today, there is no evidence for any reliable pharmacological intervention to treat delirium. The Basel BOMP-AID (Better Outcome with Melatonin compared to Placebo Administered to normalize sleep-wake cycle and...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034873
更新日期:2020-04-30 00:00:00
abstract:OBJECTIVES:There has been little research conducted to understand the essential meaning of quality, community-based, end-of-life (EOL) care, despite the expansion of these services. The purpose of this study was to define what matters most for EOL care from the perspective of a diverse range of palliative care provider...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007492
更新日期:2015-06-29 00:00:00
abstract:INTRODUCTION:Inflammatory bowel diseases (IBD) are among the most common chronic illnesses diagnosed in childhood. Transition from paediatric to adult care is a crucial phase. The implementation of joint visits during the transition period in IBD is widely recommended, however, strong evidence supporting their benefit ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038410
更新日期:2020-10-06 00:00:00
abstract:OBJECTIVES:We aimed to examine associations between markers of pubertal timing and leisure-time physical activity (LTPA) from ages 36 to 68 years in men and women from the Medical Research Council National Survey of Health and Development. STUDY DESIGN:Pubertal timing was ascertained by physicians at age 14-15 years. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017407
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVES:Emotional issues such as depression, anxiety and post-traumatic stress disorder are common following a cardiac event. Despite their high prevalence, they often go undiagnosed and research suggests that men in particular are at higher risk. Therefore, a better understanding of men's experiences with a cardiac...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029560
更新日期:2019-09-27 00:00:00
abstract:OBJECTIVES:In May 2018, the British Health Secretary announced the 'serious failure' that 450 000 women had missed out on invitations to breast screening in England, leading to extensive media coverage. This study measured public awareness of the story and tested for associated factors (eg, educational level and trust ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028040
更新日期:2019-09-06 00:00:00
abstract:OBJECTIVES:Pharmacoepidemiological studies are an important hypothesis-testing tool in the evaluation of postmarketing drug safety. Despite the potential to produce robust value-added data, interpretation of findings can be hindered due to well-recognised methodological limitations of these studies. Therefore, assessme...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001362
更新日期:2012-09-25 00:00:00
abstract:INTRODUCTION:North America is amid an opioid use epidemic. Opioid agonist treatment (OAT) effectively reduces extramedical opioid use and related harms. As with all pharmacological treatments, there are risks associated with OAT, including fatal overdose. There is a need to better understand risk for adverse outcomes d...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025204
更新日期:2018-08-05 00:00:00
abstract:OBJECTIVE:To assess the 24-month cost-effectiveness of total knee replacement (TKR) plus non-surgical treatment compared with non-surgical treatment with the option of later TKR if needed. METHODS:100 adults with moderate-to-severe knee osteoarthritis found eligible for TKR by an orthopaedic surgeon in secondary care ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033495
更新日期:2020-01-15 00:00:00
abstract:OBJECTIVE:To evaluate the impact of a model of rural community health service (CHS) on the use and acceptability of primary healthcare services. DESIGN:Quasi-experimental. SETTING:Two adjacent rural counties in China. PARTICIPANTS:5842 residents in 2009 and 3807 in 2010 from 980 households in 7 intervention township...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-004148
更新日期:2014-02-28 00:00:00
abstract:OBJECTIVES:Gender inequity has persisted in academic medicine. Yet equity is vital for countries to achieve their full potential in terms of translational research and patient benefit. This study sought to understand how the gender equity programme, Athena SWAN, can be enabled and constrained by interactions between th...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012090
更新日期:2016-09-08 00:00:00
abstract:OBJECTIVES:Stroke is the leading cause of death and disability in China, but there is scare of evidence on whether and to what extent comorbidity affects the stroke-related costs in health system. We examined the association between comorbidity and stroke-related health service utilisation and costs in urban China. SE...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037032
更新日期:2020-12-10 00:00:00
abstract:OBJECTIVES:To explore staff experiences of working with a digital communication platform implemented throughout several primary healthcare centres in Sweden. DESIGN:A descriptive qualitative approach using focus group interviews. Qualitative content analysis was used to code, categorise and thematise data. SETTING:Pr...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036585
更新日期:2020-07-23 00:00:00
abstract:OBJECTIVES:To explore the process of implementation of an online health information web-based portal and referral system (HealthPathways) using implementation science theory: the Consolidated Framework for Implementation Research (CFIR). SETTING:Southern Health Region of New Zealand (Otago and Southland). PARTICIPANT...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025094
更新日期:2018-12-31 00:00:00
abstract:OBJECTIVES:The aim was to examine health-related quality of life (HRQoL), patient characteristics and reasons for visits to general practitioners (GPs) by frequent attenders (FAs) and a comparison group (CG) in primary care. METHODS:Patients aged 18-64 years were eligible for the study. Medical records were scrutinise...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-026855
更新日期:2019-07-30 00:00:00