Question 16766 — health

Summary

Ms. Véronique Ludmann draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the gaps in care between women and men in the face of cardiovascular and neurovascular emergencies, the frequency of which increases with episodes of extreme heat, and to the specific issues that these gaps raise in a department like Oise. Facing a myocardial infarction or vascular accident stroke, every minute counts and every patient should benefit from the same level of diagnosis and care. However, women are now treated later and die more: according to report 25-01 of the National Academy of Medicine, women victims of a heart attack are treated on average half an hour later than men, and their hospital mortality reaches 9.6%, compared to 3.9% for women. men. This delay is mainly due to the time elapsed between the appearance of symptoms and the first call: less typical in women, these warning signals are too often minimized or attributed to another cause, including by the patients themselves, who delay seeking help. A comparable delay in diagnosis is observed for stroke, the risk of which also increases by approximately 3.8% for each additional degree of temperature beyond an optimal threshold. As heat waves intensify, these gaps will translate into avoidable excess mortality, which will fall even more heavily on women. These inequalities are compounded, in the Oise, by the issue of deadlines and territorial organization. If the Simone Veil hospital center in Beauvais has a neurovascular intensive care unit, thrombectomy, a decisive procedure in strokes serious ischemic, is provided for the department's hospital centers (Beauvais, Creil, Compiègne) by the Amiens-Picardie University Hospital, located outside the Oise, as part of the telestroke network. The time factor, already determining, is thus combined with distance and transfer times. Any delay in recognizing symptoms, particularly among women, has all the more serious consequences for the department's patients. She would like to know what measures the Government intends to take, in accordance with the recommendations of the National Academy of Medicine, to strengthen the training of health professionals in the detection of symptoms specific to each sex and to support medical research on cardiovascular and neurovascular risks specific to women. She also questions him about the advisability of driving, particularly as episodes of high heat, an awareness campaign aimed at women themselves, so that they immediately identify the warning signs of heart attack and stroke, learn not to trivialize them, and immediately call 15: it is on this “patient delay” that a decisive part of excess female mortality plays out. Finally, she would like to know how the Government intends to consolidate the stroke care sector in Oise, whether it concerns the capacities of the neurovascular unit, the telestroke network or the delays in access to thrombectomy, in order to guarantee the department's patients, and particularly women, care as rapid and equitable as in the rest of the territory; based mainly on training, information and organization of care, these improvements in the quality of care do not represent any cost significant budget.

Machine translation from French. The official text remains authoritative.

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