Evidence map›Paper›PMID 26353998›Full record

ArticleJournal of the American Heart Association2015

Young Hispanic Women Experience Higher In-Hospital Mortality Following an Acute Myocardial Infarction.

Fátima Rodriguez, JoAnne M Foody, Yun Wang, Lenny López

Abstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  18. Disparities in Cardiac Care of Women: Current Data and Possible Solutions.Current treatment options in cardiovascular medicine · 2018
    Review
  19. Acute myocardial infarction in young women: current perspectives.International journal of women's health · 2018
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fátima RodriguezDivision of Cardiovascular Medicine, Stanford University, Stanford, CA (R.).
JoAnne M FoodyHarvard Medical School, Massachusetts General Hospital, Boston, MA (J.A.M.F., L.) Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA (J.A.M.F.).
Yun WangDepartment of Biostatistics, Harvard School of Public Health, Boston, MA (Y.W.).
Lenny LópezHarvard Medical School, Massachusetts General Hospital, Boston, MA (J.A.M.F., L.) Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA (L.) Disparities Solutions Center, Massachusetts General Hospital, Boston, MA (L.) Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA (L.).

Funding

Association of Acculturation with Type 2 Diabetes Risk Among US LatinosK23DK098280 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOPEZ, LENNY · 2013 to 2016
$737k
NIDDK NIH HHS 1K23DK098280-01
6 · The paper itself

Abstract

backgroundAlthough mortality rates for acute myocardial infarction (AMI) have declined for men and women, prior studies have reported a sex gap in mortality such that younger women were most likely to die after an AMI. METHODS AND

resultsWe sought to explore the impact of race and ethnicity on the sex gap in AMI patterns of care and mortality for younger women in a contemporary patient cohort. We constructed multivariable hierarchical logistic regression models to examine trends in AMI hospitalizations, procedures, and in-hospital mortality by sex, age (<65 and ≥65 years), and race/ethnicity (white, black, and Hispanic). Analyses were derived from 194 071 patients who were hospitalized for an AMI with available race and ethnicity data from the 2009-2010 National Inpatient Sample. Hospitalization rates, procedures (coronary angiography, percutaneous coronary interventions, and cardiac bypass surgery), and inpatient mortality were analyzed across age, sex, and race/ethnic groups. There was significant variation in hospitalization rates by age and race/ethnicity. All racial/ethnic groups were less likely to undergo invasive procedures compared with white men (P<0.001). After adjustment for comorbidities, younger Hispanic women experienced higher in-hospital mortality compared with younger white men, with an odds ratio of 1.5 (95% CI 1.2 to 1.9), adjusted for age and comorbidities.

conclusionWe found significant racial and sex disparities in AMI hospitalizations, care patterns, and mortality, with higher in-hospital mortality experienced by younger Hispanic women. Future studies are necessary to explore determinants of these significant racial and sex disparities in outcomes for AMI.

Indexed as

Hispanic or LatinoAgedAge FactorsBlack or African AmericanComorbidityFemaleHealthcare DisparitiesHealth Status DisparitiesHospitalizationHospital MortalityHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisMyocardial Infarctionacute myocardial infarctiondisparitiesoutcomesrace/ethnicitysex‐based differences

Identifiers

PMID26353998
PMCPMC4599495

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.