A Survey of Female-Specific Cardiovascular Protocols in Emergency Departments in Canada

Nicole L. Tegg, Opal H. Desmarais, M. Patrice Lindsay, Susanna McDermott, Sharon L. Mulvagh, M. Madison Desbiens, Colleen M. Norris

Résultat de recherche: Articleexamen par les pairs

6 Citations (Scopus)

Résumé

Background: Cardiovascular diseases (CVD) remain the leading cause of death for women. However, systematic inequalities exist in how women experience clinical cardiovascular (CV) policies, programs, and initiatives. Methods: In collaboration with the Heart and Stroke Foundation of Canada, a question regarding female-specific CV protocols in an emergency department (ED), or an inpatient or ambulatory care area of a healthcare site was sent via e-mail to 450 healthcare sites in Canada. Contacts at these sites were established through the larger initiative—the Heart Failure Resources and Services Inventory–conducted by the foundation. Results: Responses were received from 282 healthcare sites, with 3 sites confirming the use of a component of a female-specific CV protocol in the ED. Three sites noted using sex-specific troponin levels in the diagnosis of acute coronary syndromes; 2 of the sites are participants in the hs-cTn—Optimizing the Diagnosis of Acute Myocardial Infarction/Injury in Women (CODE MI) trial. One site reported the integration of a female-specific CV protocol component into routine use. Conclusions: We have identified an absence of female-specific CVD protocols in EDs that may be associated with the identified poorer outcomes in women impacted by CVD. Female-specific CV protocols may serve to increase equity and ensure that women with CV concerns have access to the appropriate care in a timely manner, thereby helping to mitigate some of the current adverse effects experienced by women who present to Canadian EDs with CV symptoms.

Langue d'origineEnglish
JournalCJC Open
DOI
Statut de publicationAccepted/In press - 2023

Note bibliographique

Funding Information:
N.L.T. was funded, through a Graduate Research Assistantship, by the Faculty of Nursing from the University of Alberta.

Publisher Copyright:
© 2022 The Authors

ASJC Scopus Subject Areas

  • Cardiology and Cardiovascular Medicine

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