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Persistent sex disparities in implantable cardioverter-defibrillator therapy
- Source :
- Pacing and Clinical Electrophysiology. 41:1150-1157
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- BACKGROUND Clinical guidelines recommend cardioverter defibrillator implantation for patients with heart failure and reduced ejection fraction. Despite this, women and minorities have been less likely to receive implantable cardioverter-defibrillator (ICD) therapy than white men. We examined race and sex differences in ICD implantation in a recent cohort. METHODS Using cross-sectional, retrospective analyses, we mined our health system's outpatient electronic medical records to assess age, race, sex, medications, and comorbidities for patients aged ≥18 years with ejection fraction ≤ 35% during 2014. While adjusting for confounding variables such as medications, age, and comorbidities, we conducted a multivariable logistic regression assessing whether racial and sex differences in ICD therapy persist. RESULTS Among 5,156 outpatients with ejection fraction ≤35%, 1,681 (32.6%) patients had an ICD present at the time of their index outpatient visit in 2014. Women were less likely to have an ICD than men (25.0% vs 36.3%, P
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
New York
Comorbidity
030204 cardiovascular system & hematology
03 medical and health sciences
Sex Factors
0302 clinical medicine
Risk Factors
Internal medicine
Humans
Medicine
030212 general & internal medicine
Retrospective Studies
Heart Failure
Ejection fraction
business.industry
Medical record
Confounding
General Medicine
Odds ratio
Pennsylvania
Implantable cardioverter-defibrillator
medicine.disease
Confidence interval
Defibrillators, Implantable
Cross-Sectional Studies
Heart failure
Practice Guidelines as Topic
Cohort
Female
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 01478389
- Volume :
- 41
- Database :
- OpenAIRE
- Journal :
- Pacing and Clinical Electrophysiology
- Accession number :
- edsair.doi.dedup.....931e60d28eb1a0b490e8d61f8d6102e1