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性别差异与急性心肌梗死的趋势：一项基于全国人口的10年分析。

Gender differences and the trend in the acute myocardial infarction: a 10-year nationwide population-based analysis.

作者信息

Yang Hung-Yu, Huang Jen-Hung, Hsu Chien-Yeh, Chen Yi-Jen

机构信息

Division of Cardiovascular Medicine, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, No. 111, Section 3, Xinglong Road, Wenshan District, Taipei 116, Taiwan.

出版信息

ScientificWorldJournal. 2012;2012:184075. doi: 10.1100/2012/184075. Epub 2012 Sep 10.

DOI:10.1100/2012/184075
PMID:22997490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3444858/
Abstract

It is not clear whether gender is associated with different hospitalization cost and lengths for acute myocardial infarction (AMI). We identified patients hospitalized for primary diagnosis of AMI with (STEMI) or without (NSTEMI) ST elevation from 1999 to 2008 through a national database containing 1,000,000 subjects. As compared to that in 19992000, total (0.35‰  versus 0.06‰, P < 0.001) and male (0.59‰  versus 0.07‰, P < 0.001) STEMI hospitalization percentages were decreased in 20072008, but female STEMI hospitalization percentages were not different from 1999 to 2008. However, NSTEMI hospitalization percentages were similar over the 10-year period. The hospitalization age for AMI, STEMI, and NSTEMI was increased over the 10-year period by 14, 9, and 7 years in male, and by 18, 18, and 21 years in female. The female and male hospitalization cost and lengths were similar in the period. As compared to nonmedical center, the hospitalization cost for STEMI in medical center was higher in male patients, but not in female patients, and the hospitalization cost for NSTEMI was higher in both male and female gender. We found significant differences between male and female, medical center and non-medical center, or STEMI and NSTEMI on medical care over the 10-year period.

摘要

性别是否与急性心肌梗死（AMI）的不同住院费用及住院时长相关尚不清楚。我们通过一个包含100万受试者的全国性数据库，确定了1999年至2008年因初次诊断为AMI伴ST段抬高（STEMI）或不伴ST段抬高（NSTEMI）而住院的患者。与1999 - 2000年相比，2007 - 2008年STEMI的总住院率（0.35‰对0.06‰，P < 0.001）及男性住院率（0.59‰对0.07‰，P < 0.001）有所下降，但女性STEMI住院率在1999年至2008年期间无差异。然而，NSTEMI的住院率在这10年期间相似。在这10年期间，男性AMI、STEMI和NSTEMI的住院年龄分别增加了14岁、9岁和7岁，女性分别增加了18岁、18岁和21岁。在此期间，女性和男性的住院费用及住院时长相似。与非医疗中心相比，医疗中心男性STEMI患者的住院费用更高，而女性患者则不然，且医疗中心男性和女性NSTEMI患者的住院费用均更高。我们发现，在这10年期间，男性与女性、医疗中心与非医疗中心、或STEMI与NSTEMI之间在医疗护理方面存在显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/be1cac78cd27/TSWJ2012-184075.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/da6f26727665/TSWJ2012-184075.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/2d3e6955894d/TSWJ2012-184075.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/a0df2651bb23/TSWJ2012-184075.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/f92e33cccc39/TSWJ2012-184075.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/abb69ec44de6/TSWJ2012-184075.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/be1cac78cd27/TSWJ2012-184075.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/da6f26727665/TSWJ2012-184075.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/2d3e6955894d/TSWJ2012-184075.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/a0df2651bb23/TSWJ2012-184075.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/f92e33cccc39/TSWJ2012-184075.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/abb69ec44de6/TSWJ2012-184075.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/3444858/be1cac78cd27/TSWJ2012-184075.006.jpg

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