Gender disparity in early death after ST-elevation myocardial infarction

IMR OpenIR

	Gender disparity in early death after ST-elevation myocardial infarction
其他题名	Gender disparity in early death after ST-elevation myocardial infarction
	Zhang Bo 1; Zhang Wei 2; Huang Rongchong 1; Zhang Yan 1; Liu Jun 1; Zheng Zhengguo 1; Jiang Daming 3; Sun Yujiao 4; Ren Lina 4; Zhou Xuchen 1; Qi Guoxian 4
	2013
发表期刊	CHINESE MEDICAL JOURNAL
ISSN	0366-6999
卷号	126 期号:18 页码:3481-3485
摘要	Background Females with acute myocardial infarction (AMI) have a higher risk of adverse outcomes because of receiving less evidence-based medical care. Our aim was to investigate the gender disparity in early death after ST-elevation myocardial infarction (STEM!) in the current era.
其他摘要	Background Females with acute myocardial infarction (AMI) have a higher risk of adverse outcomes because of receiving less evidence-based medical care. Our aim was to investigate the gender disparity in early death after ST-elevation myocardial infarction (STEMI) in the current era. Methods A total of 1429 consecutive patients with STEMI in the Liaoning district were analyzed. We compared hospital care and cardiac event data by sex for in-patients with acute STEMI within 24 hours of symptom onset. Results In the emergency reperfusion group (n=754), in-hospital mortality occurred in 4.2% of the males and 11.2% of the females (P=0.001). In the non-emergency reperfusion group (n=675), in-hospital mortality occurred in 13.0% of the males and 22.9% of the females (P=0.001). Multivariate Logistic regression analysis revealed female sex as an independent risk factor of death for STEMI patients during hospitalization (OR=1.691, P=0.007). After controlling for patients who died within 24 hr after admission, female sex was no longer an independent risk factor (OR=1.409, P=0.259). Conclusion Female sex was an independent risk factor for in-hospital mortality of STEMI patients, which is explained by an excess of very early deaths.
关键词	PERCUTANEOUS CORONARY INTERVENTION HEART-DISEASE SEX-DIFFERENCES WOMEN MEN OUTCOMES THERAPY CHINA EPIDEMIOLOGY MULTICENTER myocardial infarction gender reperfusion mortality
收录类别	CSCD
语种	英语
资助项目	[Science and Technology Planning Project of Liaoning Province, China]
CSCD记录号	CSCD:4928333
引用统计	被引频次：1[CSCD] [CSCD记录]
文献类型	期刊论文
条目标识符	http://ir.imr.ac.cn/handle/321006/141657
专题	中国科学院金属研究所
作者单位	1.Dalian Med University, Dept Cardiol, Affiliated Hosp 1, Dalian 116011, Liaoning, Peoples R China 2.Dalian Med University, Dept Geriatr, Affiliated Hosp 1, Dalian 116011, Liaoning, Peoples R China 3.Dandong Ctr Hosp Dandong, Department Cardiol, Liaoning 118000, Peoples R China 4.中国科学院金属研究所
推荐引用方式 GB/T 7714	Zhang Bo,Zhang Wei,Huang Rongchong,et al. Gender disparity in early death after ST-elevation myocardial infarction[J]. CHINESE MEDICAL JOURNAL,2013,126(18):3481-3485.
APA	Zhang Bo.,Zhang Wei.,Huang Rongchong.,Zhang Yan.,Liu Jun.,...&Qi Guoxian.(2013).Gender disparity in early death after ST-elevation myocardial infarction.CHINESE MEDICAL JOURNAL,126(18),3481-3485.
MLA	Zhang Bo,et al."Gender disparity in early death after ST-elevation myocardial infarction".CHINESE MEDICAL JOURNAL 126.18(2013):3481-3485.