title: Effects of patients and hospital characteristics on myocardial infarction mortality: health disparity outcomes.
abstract: OBJECTIVE
  To evaluate if patient characteristics would have significant effects on outcomes for inpatients' Myocardial Infarction (MI) with Type 2 diabetes (T2D) admitted to Non-Federal Hospitals.
  
  
  METHODS
  We used data from the Healthcare Cost and Utilization Project under the Agency for Healthcare Research and Quality (HCUP_AHRQ, 2006) and data were retrospectively analyzed. This database was the latest HCUP data available in 2008, when the study was initiated.
  
  
  RESULTS
  There were significant results noted in healthcare outcomes between age, gender, insurance and patient mortality with gender and patient insurance (p < .001). Male inpatients had more major procedures than their female counterparts (p < .001). Treatment procedure effect on patient mortality was highly significant for age (p < .001) and gender (p < .0001), and more females died than expected (p < .001).
  
  
  CONCLUSIONS
  The implication of this study to practice is that healthcare could be more cost effective if healthcare providers are to screen and treat all patients that present with diabetic mellitus for heart and other related diseases. This venture would help detect and prevent myocardial infarction before it occurs. Discharged patients need to be followed as well to prevent frequent admissions. Prevention is better than cure.
authors.forename: Priscilla O
authors.initials: PO
authors.lastname: Okunji
authors.forename: Frank
authors.initials: F
authors.lastname: Gomez
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D015984:Causality; D015897:Comorbidity; D003924:Diabetes Mellitus, Type 2 / Q000401:mortality*; D005260:Female; D054625:Healthcare Disparities; D006801:Humans; D019458:Insurance Coverage; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality*; D012189:Retrospective Studies; D017678:Sex Distribution; D014481:United States / Q000453:epidemiology; D055815:Young Adult