TY - JOUR
T1 - Gender differences and the trend in the acute myocardial infarction
T2 - A 10-year nationwide population-based analysis
AU - Yang, Hung Yu
AU - Huang, Jen Hung
AU - Hsu, Chien-Yeh
AU - Chen, Yi Jen
PY - 2012
Y1 - 2012
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84867806197&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84867806197&partnerID=8YFLogxK
U2 - 10.1100/2012/184075
DO - 10.1100/2012/184075
M3 - Article
C2 - 22997490
AN - SCOPUS:84867806197
SN - 2356-6140
VL - 2012
JO - The Scientific World Journal
JF - The Scientific World Journal
M1 - 184075
ER -