Key result
Female patients with acute myocardial infarction had a higher 30-day in-hospital mortality rate than males (21.2% vs 14.6%, OR 1.58), a disparity that disappeared after adjusting for differences in procedure rates.
Why the study?
Does female sex impact in-hospital mortality and 30-day mortality in patients with acute myocardial infarction?
Observational (n=85,329)
Yes
Does female sex impact in-hospital mortality and 30-day mortality in patients with acute myocardial infarction?
Odds Ratio: 1.58 (95% CI 1.52–1.64)
Absolute Event Rate: 21.2% vs 14.6%
Higher in-hospital mortality rates after AMI in female patients are largely explained by lower rates of invasive procedures and medical management, highlighting the need for equitable early treatment.
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Sex differences in AMI mortality linked to lower procedure rates in females; leaves open whether equalizing access reduces disparities.
Hong et al. (2015) conducted an observational in Acute Myocardial Infarction (AMI) (n=85,329). Female sex vs. Male sex was evaluated on 30-day in-hospital mortality (OR 1.58, 95% CI 1.52-1.64). Female patients with acute myocardial infarction had a higher 30-day in-hospital mortality rate than males (21.2% vs 14.6%, OR 1.58), a disparity that disappeared after adjusting for differences in procedure rates.
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