THE IMPACT OF MARITAL-STATUS ON SURVIVAL AFTER AN ACUTE MYOCARDIAL-INFARCTION - A POPULATION-BASED STUDY
THE IMPACT OF MARITAL-STATUS ON SURVIVAL AFTER AN ACUTE MYOCARDIAL-INFARCTION - A POPULATION-BASED STUDY
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DOI：
10.1093/oxfordjournals.aje.a113544
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发表时间：
1983-01-01
影响因子：
5
通讯作者：
TONASCIA, J
中科院分区：
文献类型：
--
作者：
CHANDRA, V;SZKLO, M;TONASCIA, J
在大都市巴尔的摩、马里兰州[美国]地区进行了一项非同期前瞻性研究，以检查婚姻状况对1401例急性心肌梗死患者的住院和长期生存率的影响。患者在发生心肌梗死时被分为已婚或未婚，此后婚姻史的任何变化均不考虑。已婚男性调整后的住院病死率为19.7%，未婚男性为26.7%（P < 0.05），已婚和未婚女性分别为23.3%和37.4%（P < 0.05）。对888例急性心肌梗死后存活出院的受试者进行了10年的随访，结果显示，已婚者的生存率明显高于未婚者，男性（P < 0.0001）和女性（P < 0.025）。已婚男性和女性经历急性心肌梗死后，无论是在住院期间还是出院后，其生存前景都明显更好，与其他因素无关。
A nonconcurrent prospective study was conducted in the metropolitan Baltimore, Maryland [USA] area to examine the influence of marital status on the in-hospital and long-term survival rate of 1401 patients who experienced an acute myocardial infarction. Patients were classified as married or unmarried at the time of their myocardial infarction and any later change in the marital history was not considered. For married males the adjusted in-hospital case fatality rate was 19.7%, whereas for unmarried males the rate was 26.7% (P < 0.05); similarly, the case fatality rate for married and unmarried females was 23.3% and 37.4%, respectively (P < 0.05). A 10 yr follow-up of 888 subjects who were discharged alive after an acute myocardial infarction also showed a significantly better survival rate for the married compared to the unmarried for both males (P < 0.0001) and females (P < 0.025). Married men and women who experience an acute myocardial infarction have a significantly better survival prospect, both in-hospital and after discharge, independent of other factors.