Gender differences and trend in in-hospital mortality after acute myocardial infarction: An observational study

Abstract

Background: Acute myocardial infarction (AM) is a major public health problem. The purpose of this study was to assess the in-hospital mortality rate of acute myocardial infarction (AM) cases and to assess the impact of age and gender on in-hospital mortality in these subjects. Methods: In this observational study, all registered data of death cases (3040 males, 2489 females) in the Hospital of Cumhuriyet University during a period from June 1, 2003, to December 31, 2009 were eveluated respectively. A total of 188 death cases after AMI were identified. Results: The cause- specific proportional mortality ratio depend to AMI for seven years accounted 3.4% of all registration. There were gender differences in age, comorbid conditions and smoking status. Men had a higher in-hospital mortality rate than did women; however, this gender difference disappeared after adjustment for age. Deaths cases from AMI progressively increase in males at 45-54 and in females at 55-64 age groups. Conclusion: Our study reveals that the AMI in-hospital mortality has constantly decreased over the years and men deaths after AMI have significantly higher in-hospital mortality than women. Public health activities such as community education and prevention programs will lead to substantial reduction in mortality from AMI