Table 6

Modelled adjusted lives saved over study period if care in females is improved to the standard of males, according to OBQI score category

RegionFemale populationFemale mean OBQI scoreMale mean OBQI scoreFemale OBQI score classificationMale OBQI score classificationEstimated number of lives that would be saved (95% CIs)
East of England13 201/35 522 (37%)78.382.1FairGood356 (330–396)
South East8626/23 180 (37%)80.585.8GoodGoodN/A
South Central5186/15 308 (34%)83.687.9GoodGoodN/A
South West9953/27 839 (36%)77.983.8FairGood269 (249–299)
Yorkshire and the Humber13 394/36 676 (37%)82.986.3GoodGoodN/A
North West19 550/50 524 (39%)79.081.6FairGood528 (489–587)
North East7429/20 162 (37%)81.484.1GoodGoodN/A
West Midlands8584/25 419 (34%)79.782.6FairGood232 (215–258)
East Midlands6396/18 592 (34%)81.283.4GoodGood173 (160–192)
Wales4974/13 479 (37%)73.375.9FairFairN/A
Northern Ireland1600/4995 (32%)84.184.5GoodGoodN/A
North central London1515/4752 (32%)82.086.4GoodGoodN/A
North East London2495/7624 (33%)78.683.3FairGood67 (62–75)
North West London2345/6511 (36%)74.977.9FairFairN/A
South East London2409/7108 (34%)86.090.5GoodExcellent34 (29–39)
South West London2552/7323 (35%)81.083.7FairGood69 (64–77)
RegionFemale populationFemale mean OBQI scoreMale mean OBQI scoreFemale OBQI score classificationMale OBQI score classificationEstimated number of lives that would be saved (95% CIs)
East of England13 201/35 522 (37%)78.382.1FairGood356 (330–396)
South East8626/23 180 (37%)80.585.8GoodGoodN/A
South Central5186/15 308 (34%)83.687.9GoodGoodN/A
South West9953/27 839 (36%)77.983.8FairGood269 (249–299)
Yorkshire and the Humber13 394/36 676 (37%)82.986.3GoodGoodN/A
North West19 550/50 524 (39%)79.081.6FairGood528 (489–587)
North East7429/20 162 (37%)81.484.1GoodGoodN/A
West Midlands8584/25 419 (34%)79.782.6FairGood232 (215–258)
East Midlands6396/18 592 (34%)81.283.4GoodGood173 (160–192)
Wales4974/13 479 (37%)73.375.9FairFairN/A
Northern Ireland1600/4995 (32%)84.184.5GoodGoodN/A
North central London1515/4752 (32%)82.086.4GoodGoodN/A
North East London2495/7624 (33%)78.683.3FairGood67 (62–75)
North West London2345/6511 (36%)74.977.9FairFairN/A
South East London2409/7108 (34%)86.090.5GoodExcellent34 (29–39)
South West London2552/7323 (35%)81.083.7FairGood69 (64–77)

Adjusted mortality for comparison of ‘Good’ care in women with ‘Fair’ care in women with 95% CIs: 2.7% (2.5–3.0%), P < 0.001. Adjusted mortality for comparison of ‘Excellent’ care in women with ‘Good’ care in women with 95% CIs: 1.4% (1.2–1.6%), P < 0.001. OBQI score is ordered into four categories: ‘Excellent’, ‘Good’, ‘Fair’, and ‘Poor’. ‘Excellent’ refers to an OBQI score of 100, ‘Good’ refers to a score of ≤100 and ≥83, ‘Fair’ refers to a score of ≥67 and <83, and ‘Poor’ refers to a score of <67. Mortality rates are adjusted for age, ethnicity, family history of coronary heart diseases, ischaemic ECG changes, history of heart failure, left ventricle systolic dysfunction, hypercholesterolaemia, history of myocardial infarction, history of cerebrovascular accident, history of peripheral vascular disease, hypertension, smoking, asthma/chronic obstructive pulmonary disease, and admission under a consultant cardiologist. Lives saved are estimated for regions where women’s care by mean OBQI was in a lower category than that for men, where the number of women included in the study period is multiplied by the difference in mortality rates.

Table 6

Modelled adjusted lives saved over study period if care in females is improved to the standard of males, according to OBQI score category

RegionFemale populationFemale mean OBQI scoreMale mean OBQI scoreFemale OBQI score classificationMale OBQI score classificationEstimated number of lives that would be saved (95% CIs)
East of England13 201/35 522 (37%)78.382.1FairGood356 (330–396)
South East8626/23 180 (37%)80.585.8GoodGoodN/A
South Central5186/15 308 (34%)83.687.9GoodGoodN/A
South West9953/27 839 (36%)77.983.8FairGood269 (249–299)
Yorkshire and the Humber13 394/36 676 (37%)82.986.3GoodGoodN/A
North West19 550/50 524 (39%)79.081.6FairGood528 (489–587)
North East7429/20 162 (37%)81.484.1GoodGoodN/A
West Midlands8584/25 419 (34%)79.782.6FairGood232 (215–258)
East Midlands6396/18 592 (34%)81.283.4GoodGood173 (160–192)
Wales4974/13 479 (37%)73.375.9FairFairN/A
Northern Ireland1600/4995 (32%)84.184.5GoodGoodN/A
North central London1515/4752 (32%)82.086.4GoodGoodN/A
North East London2495/7624 (33%)78.683.3FairGood67 (62–75)
North West London2345/6511 (36%)74.977.9FairFairN/A
South East London2409/7108 (34%)86.090.5GoodExcellent34 (29–39)
South West London2552/7323 (35%)81.083.7FairGood69 (64–77)
RegionFemale populationFemale mean OBQI scoreMale mean OBQI scoreFemale OBQI score classificationMale OBQI score classificationEstimated number of lives that would be saved (95% CIs)
East of England13 201/35 522 (37%)78.382.1FairGood356 (330–396)
South East8626/23 180 (37%)80.585.8GoodGoodN/A
South Central5186/15 308 (34%)83.687.9GoodGoodN/A
South West9953/27 839 (36%)77.983.8FairGood269 (249–299)
Yorkshire and the Humber13 394/36 676 (37%)82.986.3GoodGoodN/A
North West19 550/50 524 (39%)79.081.6FairGood528 (489–587)
North East7429/20 162 (37%)81.484.1GoodGoodN/A
West Midlands8584/25 419 (34%)79.782.6FairGood232 (215–258)
East Midlands6396/18 592 (34%)81.283.4GoodGood173 (160–192)
Wales4974/13 479 (37%)73.375.9FairFairN/A
Northern Ireland1600/4995 (32%)84.184.5GoodGoodN/A
North central London1515/4752 (32%)82.086.4GoodGoodN/A
North East London2495/7624 (33%)78.683.3FairGood67 (62–75)
North West London2345/6511 (36%)74.977.9FairFairN/A
South East London2409/7108 (34%)86.090.5GoodExcellent34 (29–39)
South West London2552/7323 (35%)81.083.7FairGood69 (64–77)

Adjusted mortality for comparison of ‘Good’ care in women with ‘Fair’ care in women with 95% CIs: 2.7% (2.5–3.0%), P < 0.001. Adjusted mortality for comparison of ‘Excellent’ care in women with ‘Good’ care in women with 95% CIs: 1.4% (1.2–1.6%), P < 0.001. OBQI score is ordered into four categories: ‘Excellent’, ‘Good’, ‘Fair’, and ‘Poor’. ‘Excellent’ refers to an OBQI score of 100, ‘Good’ refers to a score of ≤100 and ≥83, ‘Fair’ refers to a score of ≥67 and <83, and ‘Poor’ refers to a score of <67. Mortality rates are adjusted for age, ethnicity, family history of coronary heart diseases, ischaemic ECG changes, history of heart failure, left ventricle systolic dysfunction, hypercholesterolaemia, history of myocardial infarction, history of cerebrovascular accident, history of peripheral vascular disease, hypertension, smoking, asthma/chronic obstructive pulmonary disease, and admission under a consultant cardiologist. Lives saved are estimated for regions where women’s care by mean OBQI was in a lower category than that for men, where the number of women included in the study period is multiplied by the difference in mortality rates.

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