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Table 4 Determinants of in-hospital mortality of myocardial infarction patients (n = 337)

From: Pre-hospital delay in patients with myocardial infarction: an observational study in a tertiary care hospital of northern Bangladesh

Characteristics

Survival

Death

cOR

aOR

Age category

 ≤ 40 years

47 (100.0)

0 (0.0)

  

 41–60 years

167 (92.8)

13 (7.2)

0.16 (0.08–0.32)*

0.25 (0.12–0.52)*

 > 60 yearsR

74 (67.3)

36 (32.7)

  

Sex

 Male

213 (83.9)

41 (16.1)

1.81 (0.80–4.02)

 

 FemaleR

75 (90.4)

8 (9.6)

  

Predominant clinical symptom

 Chest pain

227 (86.6)

35 (13.4)

0.67 (0.34–1.33)

 

 Symptoms other than chest painR

61 (81.3)

14 (18.7)

  

Behavior after onset of symptoms

 Misinterpreting the nature of pain

60 (89.6)

7 (10.4)

0.72 (0.29–1.76)

 

 Did not consider the symptoms to be serious

55 (82.1)

12 (17.9)

1.34 (0.62–2.87)

 

 Waited to see symptoms would going

32 (82.1)

7 (17.9)

1.34 (0.53–3.40)

 

 Suspected as MIR

141 (86.0)

23 (14.0)

  

Diagnosis

 STEMI

209 (83.3)

42 (16.7)

2.27 (0.97–5.26)

 

 Non-STEMIR

79 (91.9)

7 (8.1)

  

Pre-hospital delay

 ≤ 6 h

125 (94.0)

8 (6.0)

0.25 (0.11–0.56)*

0.28 (0.12–0.66)*

 > 6 hR

163 (79.9)

41 (20.1)

  

Risk factors

 Smoking

  No

114 (87.0)

17 (13.0)

0.81 (0.43–1.53)

 

  YesR

174 (84.5)

32 (15.5)

  

 Sedentary lifestyle

  No

191 (84.5)

35 (15.5)

1.27 (0.65–2.47)

 

  YesR

97 (87.4)

14 (12.6)

  

 Diabetes

  No

203 (85.3)

35 (14.7)

1.05 (0.53–2.05)

 

  YesR

85 (85.9)

14 (14.1)

  

 Hypertension

  No

103 (92.0)

9 (8.0)

0.40 (0.19–0.87)*

0.49 (0.22–1.12)

  YesR

185 (82.2)

40 (17.8)

  

 Previous history of cardiovascular disease

  No

221 (87.0)

33 (13.0)

0.63 (0.32–1.21)

 

  YesR

67 (80.7)

16 (19.3)

  

 Family history of myocardial infarction

  No

178 (80.2)

44 (19.8)

5.44 (2.09–14.13)*

1.88 (0.66–5.38)

  YesR

110 (95.7)

5 (4.3)

  
  1. R Reference case
  2. *p-value < 0.05