Author/Authors :
محمديان ، مهدي نويسنده , , حسيني، شيدخت نويسنده مركز تحقيقات قلب و عروق اصفهان , , صالحي نيا، حميد نويسنده دانشجوي دكتراي تخصصي اپيدميولوژي، دانشكده بهداشت، دانشگاه علوم پزشكي تهران، تهران، ايران Salehiniya, Hamid Salehiniya , صادقي ، معصومه نويسنده sadeghi, masoumeh , صراف زادگان، نضال نويسنده SARAF ZADEGAN, N. , روح افزا، حميدرضا نويسنده , , خضايي، سلمان نويسنده Department of Epidemiology and Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Khazaei, Salman , سلطاني ، شاهين نويسنده گروه مديريت توانبخشي، دانشكده توانبخشي، دانشگاه علوم پزشكي تهران Soltani, Shahin , صراف كيا، علي نويسنده Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Sarrafkia, Ali , گلشاهي، جعفر 1332 نويسنده پزشکي , , محمديان هفشجاني، عبداله نويسنده گروه اپيدميولوژي، دانشگاه علوم پزشكي اصفهان، اصفهان، ايران Mohammadian-Hafshejani , Abdllah
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.
