title: Differences Between Women and Men in Phase I Cardiac Rehabilitation After Acute Myocardial Infarction: A Nationwide Population-Based Analysis.
abstract: Although numerous studies have investigated gender-related differences in patients who have had an acute myocardial infarction (AMI), few studies have examined the gender-related differences among inpatients receiving Phase I inpatient cardiac rehabilitation following AMI.Using data from the Taiwan National Health Insurance Research Database, this study analyzed 6713 adult patients who received inpatient cardiac rehabilitation following AMI between 2002 and 2011. The differences in comorbidity, medical service use, and prognosis between the male and female patients were analyzed to determine whether the comorbidities affecting their prognoses differed.Female patients accounted for 23.18% of the sample, had a higher average age, and exhibited severe comorbidities; furthermore, they had significantly more days of hospitalization and days in an intensive care unit than did male patients. The gender-related differences in hospital mortality rate and 30-day mortality rate were nonsignificant, but female patients exhibited a significantly higher 1-year mortality rate. Moreover, the risk for 1-year mortality was higher among female patients with moderate or severe renal disease (odds ratio: 1.94, 95% confidence interval: 1.29-2.92) than among their male counterparts. However, the 1-year mortality rate for the female patients did not increase after all risk factors were adjusted.Gender-related differences in age, comorbidity, and prognosis were confirmed in AMI patients receiving Phase I inpatient cardiac rehabilitation. In addition, gender-related differences were observed in the comorbidity risk factors affecting prognosis. However, being female did not affect the prognosis.
authors.affiliation: From the Department of Physical Medicine and Rehabilitation, Chi Mei Medical center, Chiali, Tainan, Taiwan (LW-C); Department of Medical Research, Chi Mei Medical Center, and Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy and Science, Tainan, Taiwan (HC-H); Department of Physical Medicine and Rehabilitation, Chi Mei Medical Center, School of Medicine, Chung Shan Medical University, Taichung, Taiwan (TL-C); Department of Physical Medicine and Rehabilitation, Chi Mei Medical Center, Tainan, Taiwan (HC-C); Department of Physical Medicine and Rehabilitation, Chi Mei Medical Center, Chia Nan University of Pharmacy and Science, Tainan, Taiwan (CW); Department of Recreation and Health Care Management, Chia Nan University of Pharmacy and Science, Tainan, Taiwan (CW); and School of Physical Therapy, Chung Shan Medical University, and Physical Therapy Room, Chung Shan Medical University Hospital, Taichung, Taiwan (WC-H).
authors.forename: Wen-Chih
authors.initials: WC
authors.lastname: Lin
authors.forename: Chung-Han
authors.initials: CH
authors.lastname: Ho
authors.forename: Li-Chen
authors.initials: LC
authors.lastname: Tung
authors.forename: Chi-Che
authors.initials: CC
authors.lastname: Ho
authors.forename: Willy
authors.initials: W
authors.lastname: Chou
authors.forename: Chun-Hou
authors.initials: CH
authors.lastname: Wang
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation*; D011379:Prognosis; D012307:Risk Factors; D012737:Sex Factors; D013624:Taiwan / Q000453:epidemiology; D016896:Treatment Outcome
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