Hannan E L, Bernard H R, Kilburn H C, O'Donnell J F
School of Public Health, State University of New York, Albany.
Am Heart J. 1992 Apr;123(4 Pt 1):866-72. doi: 10.1016/0002-8703(92)90689-s.
This study utilized a state-wide data base containing clinical risk factors for cardiac surgery to investigate differences in in-hospital mortality rates for men and women undergoing coronary artery bypass surgery. The crude mortality rates for coronary artery bypass surgery for men and women were 3.08% and 5.43% respectively, in New York State in 1989. When logistic regression analysis was used to control for preoperative risk, gender remained a significant predictor of mortality. Risk-adjusted (indirectly standardized) mortality rates were 3.33% and 4.45% for men and women, respectively. The risk-adjusted odds ratio of women to men experiencing in-hospital death was 1.52 (95% confidence interval 1.25 to 1.90).
本研究利用一个包含心脏手术临床风险因素的全州数据库,调查接受冠状动脉搭桥手术的男性和女性的住院死亡率差异。1989年在纽约州,男性和女性冠状动脉搭桥手术的粗死亡率分别为3.08%和5.43%。当使用逻辑回归分析来控制术前风险时,性别仍然是死亡率的一个重要预测因素。男性和女性的风险调整(间接标准化)死亡率分别为3.33%和4.45%。女性与男性住院死亡的风险调整比值比为1.52(95%置信区间1.25至1.90)。