Patterns of referral and recovery in women and men undergoing coronary artery bypass grafting.
Patterns of referral and recovery in women and men undergoing coronary artery bypass grafting.
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接受冠状动脉旁路移植术的女性和男性的转诊和康复模式。
DOI：
10.1016/0002-9149(92)91301-j
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
HicksJr,GL
中科院分区：
文献类型：
--
作者：
King,KB;Clark,PC;HicksJr,GL
这项研究比较了接受冠状动脉旁路移植术的女性和男性。检查冠状动脉手术前后的因素，以确定与死亡率和发病率相关的变量。研究人群包括465名年龄匹配的女性和465名男性（平均年龄64.2岁），他们在1983年至1988年间接受了首次冠状动脉旁路移植术。女性的全身性高血压、糖尿病、心肌梗死后心绞痛、甲状腺疾病、关节炎（均p <0.001）、急性心肌梗死（p = 0.03）、充血性心力衰竭（p = 0.03）和急诊手术（p = 0.02）的发生率较高，而男性的消化性溃疡病发生率较高（p <0.001）。住院死亡率无显著差异（女性4.3% vs男性3.7%）。急诊手术（p <0.001）、左主干明显变窄（p <0.05）和肾脏疾病（p <0.001）与死亡相关，而心肌梗死史（p <0.05）和糖尿病史（p <0.05）仅与男性死亡相关。年龄和体表面积与死亡无关。术后男性房性心律失常发生率较高（p <0.001），女性充血性心力衰竭发生率较高（p <0.001）。虽然女性的死亡率没有更高，但数据表明，女性和男性在手术后死亡率的预测指标并不完全相同。
This study compares women and men undergoing coronary artery bypass grafting. Factors before and after coronary surgery were examined to identify variables related to mortality and morbidity. The study population included 465 women and 465 men matched for age (mean age 64.2 years) who underwent first time isolated coronary artery bypass grafting between 1983 and 1988. There were higher incidences of systemic hypertension, diabetes mellitus, postmyocardial infarction angina, thyroid gland disease, arthritis (p <0.001 for all), acute myocardial infarction (p = 0.03), congestive heart failure (p = 0.03), and emergency surgery (p = 0.02) in women, whereas more men had peptic uker disease (p <0.001). The in-hospital death rate was not significantly different (women 4.3% vs men 3.7%). For all subjects, emergency surgery (p <0.001), significant left main narrowing (p < 0.05) and renal disease (p <0.001) were related to death, whereas history of myocardial infarction (p <0.05) and diabetes (p <0.05) were related to death only in men. Age and body surface area were not related to death. After surgery men had a higher incidence of atrial arrhythmia (p <0.001), and women had a higher incidence of congestive heart failure (p <0.001). Although women did not have a higher mortality rate, the data suggest that women and men do not share all the same predictors of mortality after surgery.
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影响因子：
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DOI：
10.1073/pnas.76.12.6346
发表时间：
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影响因子：
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