000170467 001__ 170467
000170467 005__ 20260422085545.0
000170467 0247_ $$2doi$$a10.3390/jcm15072592
000170467 0248_ $$2sideral$$a148981
000170467 037__ $$aART-2026-148981
000170467 041__ $$aeng
000170467 100__ $$aLópez-Ferreruela, Irene
000170467 245__ $$aCare Pathways After Acute Myocardial Infarction: A Gender-Based Perspective
000170467 260__ $$c2026
000170467 5060_ $$aAccess copy available to the general public$$fUnrestricted
000170467 5203_ $$aBackground/Objectives: Secondary prevention after a first acute myocardial infarction (AMI) is crucial to reduce complications and improve long-term outcomes. Persistent gender inequalities in cardiovascular care suggest differences in post-AMI healthcare pathways between men and women. Understanding these trajectories could guide post-discharge clinical management, secondary prevention, and follow-up after acute myocardial infarction. This study aimed to describe healthcare pathways following a first AMI and explore gender inequalities within these trajectories. Methods: We conducted an observational, population-based study using real-world data (RWD) from the CARhES cohort. A total of 4298 individuals discharged alive after a first AMI between 2017 and 2022 were included. Healthcare trajectories during the 90 days following discharge were reconstructed across primary and specialised care, emergency services, and hospital admissions, and stratified by sex and the occurrence of clinical outcomes. Results: Post-AMI care pathways were highly heterogeneous. Although general practitioners often served as the first point of contact, most trajectories began in emergency departments. Patients with clinical outcomes showed higher healthcare utilisation. Women accessed primary care more frequently, whereas men showed greater use of specialised services and higher readmission rates, patterns that may reflect differences in follow-up strategies and clinical management during the early post-discharge period. Despite this variability, overall trajectories showed no significant sex-based differences. Conclusions: Post-AMI care pathways are complex and variable, with gender differences in patterns of service use. Women more often accessed scheduled care, while men relied more on emergency services. These findings highlight the need for gender-sensitive post-discharge follow-up to guide clinicians in secondary prevention strategies for AMI.
000170467 536__ $$9info:eu-repo/grantAgreement/ES/DGA-GRISSA/B09-23R$$9info:eu-repo/grantAgreement/ES/ISCIII/PI22-01193
000170467 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000170467 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000170467 700__ $$0(orcid)0000-0003-1647-3462$$aMaldonado, Lina$$uUniversidad de Zaragoza
000170467 700__ $$0(orcid)0000-0002-7194-8275$$aMalo, Sara$$uUniversidad de Zaragoza
000170467 700__ $$0(orcid)0000-0002-6671-5661$$aRabanaque, María José$$uUniversidad de Zaragoza
000170467 700__ $$0(orcid)0000-0001-7293-701X$$aAguilar-Palacio, Isabel$$uUniversidad de Zaragoza
000170467 7102_ $$14014$$2623$$aUniversidad de Zaragoza$$bDpto. Economía Aplicada$$cÁrea Métodos Cuant.Econ.Empres
000170467 7102_ $$11011$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Medic.Prevent.Salud Públ.
000170467 773__ $$g15, 7 (2026), 2592$$pJ. clin.med.$$tJournal of Clinical Medicine$$x2077-0383
000170467 8564_ $$s2359719$$uhttps://zaguan.unizar.es/record/170467/files/texto_completo.pdf$$yVersión publicada
000170467 8564_ $$s2455659$$uhttps://zaguan.unizar.es/record/170467/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000170467 909CO $$ooai:zaguan.unizar.es:170467$$particulos$$pdriver
000170467 951__ $$a2026-04-22-08:33:01
000170467 980__ $$aARTICLE