TY - JOUR
T1 - Comparison of 30-day mortality and readmission frequency in women versus men with acute myocardial infarction
AU - Dennis, Jeff A.
AU - Zhang, Yan
AU - Zhang, Fangyuan
AU - Kopel, Jonathan
AU - Abohelwa, Mostafa
AU - Nugent, Kenneth
N1 - Funding Information:
The authors wish to thank the Laura W. Bush Institute for Women?s Health for supporting this work with a 2017 Research Scholar Grant. The authors also wish to acknowledge Allen Sherry and University Medical Center for their assistance in data collection and the contribution of the Texas Tech University Health Sciences Center Clinical Research Institute for their assistance with this research.
Publisher Copyright:
© 2021 The Author(s). Published with license by Taylor and Francis Group, LLC.
PY - 2021
Y1 - 2021
N2 - 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%, P < 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.
AB - 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%, P < 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.
KW - Acute myocardial infarction
KW - gender
KW - mortality
KW - sex
UR - http://www.scopus.com/inward/record.url?scp=85111143141&partnerID=8YFLogxK
U2 - 10.1080/08998280.2021.1945364
DO - 10.1080/08998280.2021.1945364
M3 - Article
AN - SCOPUS:85111143141
VL - 34
SP - 668
EP - 672
JO - Baylor University Medical Center Proceedings
JF - Baylor University Medical Center Proceedings
SN - 0899-8280
IS - 6
ER -