Dennis Jeff A, Zhang Yan, Zhang Fangyuan, Kopel Jonathan, Abohelwa Mostafa, Nugent Kenneth
Department of Public Health, Texas Tech University Health Sciences Center, Lubbock, Texas.
Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, Texas.
Proc (Bayl Univ Med Cent). 2021 Jul 21;34(6):668-672. doi: 10.1080/08998280.2021.1945364. eCollection 2021.
This study aimed to assess gender differences in hospitalization incidence, 30-day mortality, and 30-day readmission rates for acute myocardial infarction (AMI) in a Southwestern US medical center. Hospital billing records for AMI admissions were compiled from January 2013 to June 2019, resulting in a sample size of 2394. Billing data included gender, age, principal procedure, insurance status, principal diagnosis, and race/ethnicity. Multivariate logistic regression was used to estimate gender differences in mortality after adjustment for the aforementioned factors. Men were hospitalized for AMI over twice as frequently, yet women had higher AMI mortality than men (9.3% vs. 6.1%, < 0.01). Female AMI patients were older on average and slightly less likely to undergo percutaneous transluminal coronary angioplasty than men. Thirty-day readmission rates did not differ by gender. In absolute terms, AMI hospitalizations and deaths are larger in number in men, but AMI hospitalizations more frequently end in death in women.
本研究旨在评估美国西南部一家医疗中心急性心肌梗死（AMI）患者在住院率、30天死亡率和30天再入院率方面的性别差异。收集了2013年1月至2019年6月期间AMI住院患者的医院账单记录，样本量为2394。账单数据包括性别、年龄、主要手术、保险状况、主要诊断以及种族/民族。在对上述因素进行调整后，采用多变量逻辑回归来估计死亡率方面的性别差异。男性因AMI住院的频率是女性的两倍多，但女性的AMI死亡率高于男性（9.3%对6.1%，<0.01）。女性AMI患者的平均年龄更大，接受经皮冠状动脉腔内血管成形术的可能性略低于男性。30天再入院率在性别上没有差异。从绝对值来看，男性的AMI住院人数和死亡人数更多，但女性的AMI住院患者更常以死亡告终。
