Sex disparities in management and outcomes of cardiac arrest complicating acute myocardial infarction in the United States

There have been limited large scale studies assessing sex disparities in the outcomes of cardiac arrest (CA) complicating acute myocardial infarction (AMI). Using the National Inpatient Sample (2000–2017), we identified adult admissions (≥18 years) with AMI and CA. Outcomes of interest included sex...

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Bibliographic Details
Published in:Resuscitation 2022-03, Vol.172, p.92-100
Main Authors: Verghese, Dhiran, Patlolla, Sri Harsha, Cheungpasitporn, Wisit, Doshi, Rajkumar, Miller, Virginia M., Jentzer, Jacob C., Jaffe, Allan S., Holmes, David R., Vallabhajosyula, Saraschandra
Format: Article
Language:English
Subjects:
Acute myocardial infarction
Adult
Cardiac arrest
Complications
Female
Female sex
Healthcare disparities
Heart Arrest - complications
Heart Arrest - therapy
Hospital Mortality
Humans
Male
Myocardial Infarction - complications
Myocardial Infarction - therapy
Outcomes research
Percutaneous Coronary Intervention - adverse effects
Shock, Cardiogenic
United States - epidemiology
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Summary:There have been limited large scale studies assessing sex disparities in the outcomes of cardiac arrest (CA) complicating acute myocardial infarction (AMI). Using the National Inpatient Sample (2000–2017), we identified adult admissions (≥18 years) with AMI and CA. Outcomes of interest included sex disparities in coronary angiography (early [hospital day zero] and overall), time to angiography, percutaneous coronary angiography (PCI), mechanical circulatory support (MCS) use, in-hospital mortality, hospitalization costs, hospital length of stay and discharge disposition. In the period between January 1, 2000-December 31, 2017, 11,622,528 admissions for AMI were identified, of which 584,216 (5.0%) were complicated by CA. Men had a higher frequency of CA compared to women (5.4% vs. 4.4%; p 
ISSN:0300-9572
1873-1570
DOI:10.1016/j.resuscitation.2022.01.024