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Prognostic factors of 28 days survival rate in patients with a first acute myocardial infarction based on gender in Isfahan, Iran (2000-2009)
Authors
Abdollah Mohammadian-Hafshejani
Ali Sarrafkia
+9 more
Hamid Salehiniya
Hamid Reza Roohafza
Jafar Golshahi
Mahdi Mohammadian
Masoumeh Sadeghi
Nizal Sarrafzadegan
Salman Khazaei
Shahin Soltani
Shidokht Hosseini
Publication date
1 January 2015
Publisher
View
on
PubMed
Abstract
BACKGROUND: Determinant prognostic factors of 28 days survival rate in patients with a first acute myocardial infarction (AMI) based on gender in teen year�s period in Isfahan, Iran, was the aim of this study. METHODS: This study is a prospective hospital-based study that consisted, all patients with AMI admitted to all hospitals (private and universal hospitals) in Isfahan and Najafabad (Iran) during 2000-2009. To determinant the prognostic factors of 28 days survival rate in patients based on gender, analysis conducted separately for male and female. In analysis, we use of t-test, log Rank tests, Kaplan�Meier method, and univariate and multivariate Cox regression model. RESULTS: Short-term (28 days) survival rate was 92.5 in male and 86.7 in female (P < 0.001). The adjusted hazard ratio (HR) of death for age group 80 years and older was 12.7 95% confidence interval (CI): 5.14-31.3 in male and 8.78 (95% CI: 1.2-63.1) in female. HR for acute transmural MI of the unspecified site in male was 8.9 (95% CI: 4.68-16.97) and in female 9.33 (95% CI: 4.42-19.7). HR for receive of streptokinase in male was 1.11 (95% CI: 0.94-1.31) and in female was 0.69 (95% CI: 0.56-0.84). CONCLUSION: Short-term survival rate in male was a higher than female. In male age, anatomic location of MI and hospital status and in female streptokinase use and anatomic location of MI was the most important prognostic factors of survival in-patient with AMI in Isfahan. © 2015, Isfahan University of Medical Sciences(IUMS). All rights reserved
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oai:eprints.iums.ac.ir:4651
Last time updated on 10/10/2019
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