Association between Marital Status and In-Hospital Death in Acute Myocardial Infarction Patients in Puerto Rico.
Cameron M Frederick1, Mythili Penugonda2, Edward Suh3
1Dwight D. Eisenhower Army Medical Center, Ft. Gordon, GA, USA.
Puerto Rico Health Sciences Journal
|January 15, 2020
Summary
This study found no link between marital status and in-hospital deaths for acute myocardial infarction (AMI) patients in Puerto Rico. Researchers analyzed data from 2007-2011, finding no significant associations across single, married, divorced, or widowed groups.
Area of Science:
- Cardiology
- Public Health
- Sociomedical Science
Background:
- Acute Myocardial Infarction (AMI) is a significant cause of mortality worldwide.
- Understanding factors influencing AMI outcomes is crucial for public health interventions.
- Marital status has been explored as a potential social determinant of health in various conditions.
Purpose of the Study:
- To investigate the association between marital status and in-hospital mortality among patients diagnosed with Acute Myocardial Infarction (AMI).
- To analyze data from Puerto Rico covering the years 2007, 2009, and 2011.
Main Methods:
- Secondary data analysis of the Puerto Rican Cardiovascular Surveillance System.
- Inclusion of individuals aged 18+ with incidental AMI.
- Application of univariate and multivariate logistic regression models, controlling for age, sex, social history, and comorbidities.
Main Results:
- The study included 414 single, 1,811 married, 153 divorced/separated, and 472 widowed participants.
- Widowed status was significantly more prevalent in older age groups (75-84 and ≥85 years).
- Adjusted odds ratios (OR) for in-hospital mortality showed no significant association for single (OR 0.6), divorced/separated (OR 0.6), or widowed (OR 0.9) patients compared to married patients.
Conclusions:
- No significant association was identified between marital status and in-hospital mortality in Puerto Rican patients with AMI.
- The findings suggest that marital status may not be a primary predictor of immediate mortality post-AMI in this population.
- Further research is recommended to explore post-discharge mortality and long-term outcomes in relation to marital status.
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