Gender differences in the presentation, approach and treatment of PTE in a rural environment
Section: Artículos Científicos
How to quote
Enferm Cardiol. 2019;26(76):61 -68
Authors
Eva Prieto García1, Tamara López Martínez2, Marcos Álvarez Pérez3, Maravilla Fernández-Campoamor González2, Ricardo de Dios del Valle4.
Position
1 Graduada en Enfermería y en Fisioterapia. Hospital Comarcal de Jarrio, Asturias. 2 Graduada en Enfermería. Hospital Comarcal de Jarrio, Asturias. 3 Especialista en Medicina Interna. Hospital de Jarrio, Asturias. 4 Subdirector de Atención Sanitaria y Salud Pública. Hospital Universitario Central de Asturias, Oviedo.
Contact address
Eva Prieto García. Hospital Comarcal de Jarrio. Jarrio, s/n 33795. Coaña (Asturias)
Contact email: evpriega@gmail.com
Abstract
ntroduction. Pulmonary thromboembolism (PTE) poses an important health issue in our environment. Various studies evidence gender differences concerning PTE, the majority of them being performed in urban areas.
Objective: To describe the sociodemographic and health care differences existing between women and men suffering from PTE in a rural hospital of Area I of the Principality of Asturias.
Method. Cross-sectional study carried out at the Hospital of Jarrio. Variables relating to sociodemography, clinical presentation, use of the health system and health care received were analyzed through the computerized medical records of those patients who suffered from a PTE in the years 2013, 2014 and 2015.
Results. 116 PTE incidents were studied. The majority (59.5%) of them occurred in women, who had a higher mean age when suffering from PTE (p<0.001). Men were heavier smokers and alcohol consumers (p<0.001). Women suffered more from arterial hypertension (p=0.003) and obesity (p=0.008). Men had a higher prevalence of acute myocardial infarction (p=0.006) and COPD (p<0.001) as clinical history. With respect to health care, we can observe that women are moved less often to another, higher-level, hospital center and undergo less diagnostic tests, such as echocardiography (p=0.024). During admission, women present more complications, especially neurological ones (p = 0.038), and a higher mortality.
Conclusions. There are gender differences in demographic variables, in cardiovascular risk profile, in clinical presentation, in hospital management and in the co-morbidity/mortality of PTE in area I population, which suggest areas for improvement.
Keywords: pulmonary embolism, gender and health, hospital care, rural population, quality of health care.
Keywords:
pulmonary embolism; gender and health; Hospital Care; rural population; quality of health care
Versión en Español
Título:
Diferencias de género en la presentación, abordaje y tratamiento del TEP en un medio rural
Artículo completo no disponible en este idioma / Full article is not available in this language
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