Sex differences in the treatment and outcomes of patients hospitalized with ST-elevation myocardial infarction.
Catheter Cardiovasc Interv
; 95(2): 196-204, 2020 02.
Article
em En
| MEDLINE
| ID: mdl-31012227
ABSTRACT
OBJECTIVES:
To compare mortality for women and men hospitalized with ST-elevation myocardial infarction (STEMI) by age and revascularization status.BACKGROUND:
There is little information on the mortality of men and women not undergoing revascularization, and the impact of age on relative male-female mortality needs to be revisited. METHODS ANDRESULTS:
An observational database of 23,809 patients with STEMI presenting at nonfederal New York State hospitals between 2013 and 2015 was used to compare risk-adjusted inhospital/30-day mortality for women and men and to explore the impact of age on those differences. Women had significantly higher mortality than men overall (adjusted odds ratio [AOR] = 1.15, 95% CI [1.04, 1.28]), and among patients aged 65 and older. Women had lower revascularization rates in general (AOR = 0.64 [0.59, 0.69]) and for all age groups. Among revascularized STEMI patients, women overall (AOR = 1.30 [1.10, 1.53]) and over 65 had higher mortality than men. Among patients not revascularized, women between the ages of 45 and 64 had lower mortality (AOR = 0.68 [0.48, 0.97]).CONCLUSIONS:
Women with STEMI, and especially older women, had higher inhospital/30-day mortality rates than their male counterparts. Women had higher mortality among revascularized patients, but not among patients who were not revascularized.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Admissão do Paciente
/
Disparidades nos Níveis de Saúde
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Disparidades em Assistência à Saúde
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Infarto do Miocárdio com Supradesnível do Segmento ST
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Revascularização Miocárdica
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article