Diferencias entre varones y mujeres respecto a la mortalidad hospitalaria y la utilización de procedimientos en el infarto agudo de miocardio

Monteagudo-Piqueras, Olga; Sarría‐Santamera, Antonio

doi:10.1157/13084138

Cited by 10 publications

(5 citation statements)

References 6 publications

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“…In our study, diabetic women had significantly higher mortality rates than diabetic men. These results are consistent with those of other studies that specifically analyze the interaction between gender and diabetes [9,18,19]. In the Secondary Prevention Reinfarction Israeli Nifedipine Trial (SPRINT) study, diabetes was a significant predictor of hospital mortality after AMI in women, but not in men.…”

Section: Discussionsupporting

confidence: 90%

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Trends of hospitalizations, fatality rate and costs for acute myocardial infarction among Spanish diabetic adults, 2001-2006

López‐de‐Andrés

Hernández-Barrera

Carrasco‐Garrido

et al. 2010

BMC Health Serv Res

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Background: Acute myocardial infarction (AMI) is one of the more frequent reasons diabetic patients are admitted to hospital, and there are reports that the long-term prognosis after an AMI is much worse in these patients than in non-diabetic patients. This study aims to compare hospital admissions and costs in Spanish diabetic and nondiabetic subjects due to AMI during the period 2001-2006. Methods: We conducted a retrospective study of 6 years of national hospitalization data associated with diabetes using the Minimum Basic Data Set. National hospitalization rates were calculated for AMI among diabetic and nondiabetic adults. Fatality rates, mean hospital stay and direct medical costs related to hospitalization were analyzed. Costs were calculated using Diagnosis-Related Groups for AMI in diabetics and non-diabetics patients.

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Section: Discussionsupporting

confidence: 90%

“…However, hospitalized women have been reported to undergo fewer diagnostic or revascularization procedures, and therefore have a higher mortality rate [19]. In our study, diabetic women had significantly higher mortality rates than diabetic men.…”

Section: Discussionmentioning

confidence: 47%

Trends of hospitalizations, fatality rate and costs for acute myocardial infarction among Spanish diabetic adults, 2001-2006

López‐de‐Andrés

Hernández-Barrera

Carrasco‐Garrido

et al. 2010

BMC Health Serv Res

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“…Ischemic heart disease in women occurs at older ages, with a higher rate of acute renal failure, arrhythmias, shock, complicated diabetes, heart failure, and cerebrovascular disease. 37 This may help explain the lower rate of referral of women compared with men (ie, the low rate being related to clinical characteristics, rather than a sex bias).…”

Section: Discussionmentioning

confidence: 99%

Predictors of Enrollment in Cardiac Rehabilitation Programs in Spain

Chamosa

Alarcón

Dorronsoro

et al. 2015

Journal of Cardiopulmonary Rehabilitation and Prevention

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“…Although in this case the differences were small, this finding is consistent with the multiple studies that have described the existence of a gender bias in healthcare. [22][23][24] When comparing according to income level, it was observed that there was only a statistically significant effect in the group who earned less than €18 000 per year, with a weekend effect of 17%. This was likely due to the fact that it was the biggest population group: almost 75% of hospital admissions were of people with this income level.…”

Section: Discussionmentioning

confidence: 99%

Do hospitals have a higher mortality rate on weekend admissions? An observational study to analyse weekend effect on urgent admissions to hospitals in Catalonia

2021

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Background‘Weekend effect’ is a term used to describe the increased mortality associated with weekend emergency admissions to hospital, in contrast with admission on weekdays. The objective of the present study is to determine whether the weekend effect is present in hospitals in Catalonia.MethodsWe analysed all urgent admissions in Catalonia in 2018, for a group of pathologies. Two groups were defined (those admitted on a weekday and those admitted on a weekend). We obtained mortality at 3, 7, 15 and 30 days, and applied a proportions test to both groups. Additionally, we used Cox’s regression for mortality at 30 days, using the admission on a weekend as the exposition, adjusting by socioeconomic and clinical variables. We used the hospital discharge database and the Central Registry of the Insured Population.Results72 427 admissions for the selected pathologies during 2018 were found. No statistically significant differences in mortality at 30 days (p=0.524) or at 15 days (p=0.119) according to the day of admission were observed. However, significant differences were found in mortality at 7 days (p=0.025) and at 3 days (p=0.002). The hazard rate associated with the weekend was 1.13 (95% CI: 1.04 to 1.23). By contrast, the adjusted HR of the weekend interaction with time was 0.99 (95% CI: 0.99 to 1.00).ConclusionsThere is a weekend effect, but it is not constant in time. This could suggest the existence of dysfunctions in the quality of care during the weekend.

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Diferencias entre varones y mujeres respecto a la mortalidad hospitalaria y la utilización de procedimientos en el infarto agudo de miocardio

Cited by 10 publications

References 6 publications

Trends of hospitalizations, fatality rate and costs for acute myocardial infarction among Spanish diabetic adults, 2001-2006

Trends of hospitalizations, fatality rate and costs for acute myocardial infarction among Spanish diabetic adults, 2001-2006

Predictors of Enrollment in Cardiac Rehabilitation Programs in Spain

Do hospitals have a higher mortality rate on weekend admissions? An observational study to analyse weekend effect on urgent admissions to hospitals in Catalonia

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