Sex-disparities in chest pain workup: a retrospective cohort review of a university based clinical decision pathway.

ABSTRACT:

Background

Females have historically lower rates of cardiovascular testing when compared to males. Clinical decision pathways (CDP) that utilize standardized risk-stratification methods may balance this disparity. We sought to determine whether clinical decision pathways could minimize sex-based differences in the non-invasive workup of chest pain in the emergency department (ED). Moreover, we evaluated whether the HEART score would minimize sex-based differences in risk-stratification.

Methods

We conducted a retrospective cohort review of adult ED encounters for chest pain where CDP was employed. Primary outcome was any occurrence of non-invasive imaging (coronary CTA, stress imaging), invasive testing, intervention (PCI or CABG), or death. Secondary outcomes were 30-day ma

SUBMITTER: Titus BR 

PROVIDER: S-EPMC10729513 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature