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Additionally, the subgroup of women with STEMI have a higher incidence of overall bleeding, driven by nonmajor events. We must recognize functional impairments in order to set our patients up for success when they leave the hospital. The differences in bleeding observed in the study also have clinical implications, he continued. We must be vigilant with bleeding avoidance strategies in all patients, but especially among older adults who are at higher risk for bleeding complications.
Do we just think they're so frail? Or what is the bias here that keeps us from treating an elderly woman the way we would treat an elderly male? It could be that physicians see these patients as frail and use that as an excuse not to treat them aggressively, Lundberg suggested. And the scary thing is the elderly population is predominately women. Regardless of presentation, women were generally older than men and had less prior coronary disease. For both NSTEMI and STEMI patients, more women than men at baseline had age-associated functional impairments related to cognitive function, vision and hearing impairment, functional mobility, activities of daily living, or a history of falls.
P Value. Cognitive Impairment. Activities of Daily Living Disability. Impaired Functional Mobility. Nanna said these findings should change clinical practice. Ultimately, we must achieve equity in the delivery of proven lifesaving treatments while minimizing complications across the sexes. When she seems like a good candidate and she's interested, we should forge ahead and be aggressive with these women.
Gina Lundberg. These include home safety checks for people at high risk for falls, pillboxes for those with likely to be nonadherent to medications due to cognitive impairments, and intensive physical rehabilitation for those with functional mobility limitations. Additionally, Laxmi Mehta, MD The Ohio State University, Columbus , said improving outcomes for all patients will require a greater understanding of how physicians decide to prescribe preventive medications.
