Study suggests chest pain risk assessment may minimize remedy disparities – health



Using a standardised tool for assessing the risk of serious outcomes in patients with chest pain used to be associated with women at high risk receiving comparable care to men, according to new research.

The result of the research were published in the publication Annals of Emergency Medicine. Care received by women at low and intermediate-risk used to be consistent with current clinical recommendations. Men received more stress testing and were much more likely to be hospitalized than women.

The researchers’ goal in this study used to be to take a look at gender disparities after developing and executing a standardized approach to cardiac deal with patients in 2016, the use of the HEART score. The HEART score, which stands for the history, electrocardiogram, age, risk factors, and troponin level, is used to decide risk for adults with the suspected acute coronary syndrome, and based on that risk informs clinical decisions and standard care recommendations.

“Historically, a lot has been published approximately disparities in cardiovascular deal with women, including misdiagnosing them,” said Adam Sharp, MD, MSc. “So, we hypothesised that our standardized approach with more objective risk stratification may minimize or get rid of disparities in deal with women.

“We found after implementation of the HEART score that women received more appropriate care than men with physicians less likely to recommend low-value cardiac testing for lower and intermediate-risk levels, and comparable deal with those at high risk.”

This study used data collected from more than 34,000 emergency branch visits from May 20, 2016, to December 1, 2017, at 15 emergency departments inside Kaiser Permanente in Southern California. The study findings included:

Women were hospitalised or received stress tests less continuously than men even after adjusting for HEART score and comorbidities.

-Women received care consistent with guidelines:

-Low-risk women were less likely to be referred for stress tests or to be hospitalized than men.

-High-risk women received similar care to high-risk men.

-Despite less care, women still had fewer reports of heart attacks or death inside 30 days of the emergency branch visit than men overall, and especially among those at low risk.

Dr. Sharp said the study showed that risk stratification by HEART score of emergency branch patients with suspected heart attacks is also useful in making improvements to the care of women, and an possibility to keep away from nonrecommended care in low-risk men.

Kaiser Permanente strives to give you the correct care, at the correct place and time, and to minimize the amount of non-recommended deal with heart patients and others. Unnecessary and non-recommended care can have negative effects on patient safety, convenience, and the overall affordability of health care.

“There is all the time a margin of error with any testing, which requires physicians and patients to weigh the advantages against the risks,” Dr Sharp said.

“More testing in low-risk patients can result in more invasive tests, which has potential health risks in addition to potential time in the hospital. No one wants to take time off to go to the hospital. Particularly whether it’s unnecessary.”

(This story has been published from a wire agency feed without modifications to the text.)

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