Cargando…
Hospital mortality in acute coronary syndrome: differences related to gender and use of percutaneous coronary procedures
BACKGROUND: To identify differences among men and women with acute coronary syndrome in terms of in-hospital mortality, and to assess whether these differences are related to the use of percutaneous cardiovascular procedures. METHODS: Observational study based on the Minimum Basic Data Set. This enc...
Autores principales: | , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2007
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1959198/ https://www.ncbi.nlm.nih.gov/pubmed/17631037 http://dx.doi.org/10.1186/1472-6963-7-110 |
_version_ | 1782134622849597440 |
---|---|
author | Aguado-Romeo, María J Márquez-Calderón, Soledad Buzón-Barrera, María L |
author_facet | Aguado-Romeo, María J Márquez-Calderón, Soledad Buzón-Barrera, María L |
author_sort | Aguado-Romeo, María J |
collection | PubMed |
description | BACKGROUND: To identify differences among men and women with acute coronary syndrome in terms of in-hospital mortality, and to assess whether these differences are related to the use of percutaneous cardiovascular procedures. METHODS: Observational study based on the Minimum Basic Data Set. This encompassed all episodes of emergency hospital admissions (46,007 cases, including 16,391 women and 29,616 men) with a main diagnosis of either myocardial infarction or unstable angina at 32 hospitals within the Andalusian Public Health System over a four-year period (2000–2003). The relationship between gender and mortality was examined for the population as a whole and for stratified groups depending on the type of procedures used (diagnostic coronary catheterisation and/or percutaneous transluminal coronary angioplasty). These combinations were then adjusted for age group, main diagnosis and co-morbidityharlson score). RESULTS: During hospitalisation, mortality was 9.6% (4,401 cases out of 46,007), with 11.8% for women and 8.3% for men. There were more deaths among older patients with acute myocardial infarction and greater co-morbidity. Lower mortality was shown in patients undergoing diagnostic catheterisation and/or PTCA. After adjusting for age, diagnosis and co-morbidity, mortality affected women more than men in the overall population (OR 1.14, 95% CI: 1.06–1.22) and in the subgroup of patients where no procedure was performed (OR 1.16, 95% CI: 1.07–1.24). Gender was not an explanatory variable in the subgroups of patients who underwent some kind of procedure. CONCLUSION: Gender has not been associated to in-hospital mortality in patients who undergo some kind of percutaneous cardiovascular procedure. However, in the group of patients without either diagnostic catheterisation or angioplasty, mortality was higher in women than in men. |
format | Text |
id | pubmed-1959198 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-19591982007-08-30 Hospital mortality in acute coronary syndrome: differences related to gender and use of percutaneous coronary procedures Aguado-Romeo, María J Márquez-Calderón, Soledad Buzón-Barrera, María L BMC Health Serv Res Research Article BACKGROUND: To identify differences among men and women with acute coronary syndrome in terms of in-hospital mortality, and to assess whether these differences are related to the use of percutaneous cardiovascular procedures. METHODS: Observational study based on the Minimum Basic Data Set. This encompassed all episodes of emergency hospital admissions (46,007 cases, including 16,391 women and 29,616 men) with a main diagnosis of either myocardial infarction or unstable angina at 32 hospitals within the Andalusian Public Health System over a four-year period (2000–2003). The relationship between gender and mortality was examined for the population as a whole and for stratified groups depending on the type of procedures used (diagnostic coronary catheterisation and/or percutaneous transluminal coronary angioplasty). These combinations were then adjusted for age group, main diagnosis and co-morbidityharlson score). RESULTS: During hospitalisation, mortality was 9.6% (4,401 cases out of 46,007), with 11.8% for women and 8.3% for men. There were more deaths among older patients with acute myocardial infarction and greater co-morbidity. Lower mortality was shown in patients undergoing diagnostic catheterisation and/or PTCA. After adjusting for age, diagnosis and co-morbidity, mortality affected women more than men in the overall population (OR 1.14, 95% CI: 1.06–1.22) and in the subgroup of patients where no procedure was performed (OR 1.16, 95% CI: 1.07–1.24). Gender was not an explanatory variable in the subgroups of patients who underwent some kind of procedure. CONCLUSION: Gender has not been associated to in-hospital mortality in patients who undergo some kind of percutaneous cardiovascular procedure. However, in the group of patients without either diagnostic catheterisation or angioplasty, mortality was higher in women than in men. BioMed Central 2007-07-13 /pmc/articles/PMC1959198/ /pubmed/17631037 http://dx.doi.org/10.1186/1472-6963-7-110 Text en Copyright © 2007 Aguado-Romeo et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Aguado-Romeo, María J Márquez-Calderón, Soledad Buzón-Barrera, María L Hospital mortality in acute coronary syndrome: differences related to gender and use of percutaneous coronary procedures |
title | Hospital mortality in acute coronary syndrome: differences related to gender and use of percutaneous coronary procedures |
title_full | Hospital mortality in acute coronary syndrome: differences related to gender and use of percutaneous coronary procedures |
title_fullStr | Hospital mortality in acute coronary syndrome: differences related to gender and use of percutaneous coronary procedures |
title_full_unstemmed | Hospital mortality in acute coronary syndrome: differences related to gender and use of percutaneous coronary procedures |
title_short | Hospital mortality in acute coronary syndrome: differences related to gender and use of percutaneous coronary procedures |
title_sort | hospital mortality in acute coronary syndrome: differences related to gender and use of percutaneous coronary procedures |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1959198/ https://www.ncbi.nlm.nih.gov/pubmed/17631037 http://dx.doi.org/10.1186/1472-6963-7-110 |
work_keys_str_mv | AT aguadoromeomariaj hospitalmortalityinacutecoronarysyndromedifferencesrelatedtogenderanduseofpercutaneouscoronaryprocedures AT marquezcalderonsoledad hospitalmortalityinacutecoronarysyndromedifferencesrelatedtogenderanduseofpercutaneouscoronaryprocedures AT buzonbarreramarial hospitalmortalityinacutecoronarysyndromedifferencesrelatedtogenderanduseofpercutaneouscoronaryprocedures AT hospitalmortalityinacutecoronarysyndromedifferencesrelatedtogenderanduseofpercutaneouscoronaryprocedures |