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Table 1 Baseline characteristics of the ICU study populations aged ≤ 52 years stratified by sex

From: Temporal trends in mortality and provision of intensive care in younger women and men with acute myocardial infarction or stroke

 

Acute myocardial infarction age ≤ 52 years

Stroke age ≤ 52 years

Overall n = 13,449

Men n = 11,218 (83.4%)

Women n = 2231 (16.6%)

p-value

Overall n = 3505

Men n = 2116 (60.4%)

Women n = 1389 (39.6%)

p-value

Age (years), mean ± SD

45 ± 5.4

45 ± 5.4

45 ± 5.7

0.229

43 ± 7.9

44 ± 7.3

41 ± 8.5

 < 0.001

Transfer from other hospital, n (%)

3140 (23.3)

2646 (23.6)

494 (22.1)

0.176

482 (13.8)

277 (13.1)

205 (14.8)

0.353

Direct admissions, n (%)

9684 (72.0)

8042 (71.7)

1642 (73.6)

 

2591 (73.9)

157 74.3)

1018 (73.3)

 

Other, n (%)

625 (4.6)

530 (4.7)

95 (4.3)

 

432 (12.3)

266 (12.6)

166 (12.0)

 

SAPS II (points) - mean ± SD

18.37 ± 9.32

18.34 ± 9.26

18.53 ± 9.61

0.382

20.16 ± 12.25

20.47 ± 12.47

19.69 ± 11.9

0.061

NEMS score (points)

        

  1st shift, mean ± SD

17.68 ± 7.93

17.80 ± 8.00

17.05 ± 7.56

 < 0.001

17.72 ± 8.92

17.8 ± 8.98

17.61 ± 8.82

0.542

  Average NEMS/shift, mean ± SD

16.72 ± 6.44

16.81 ± 6.40

16.3 ± 6.58

 < 0.001

17.91 ± 7.92

18 ± 7.43

17.78 ± 8.61

0.436

LOS (days), median (IQR)

0.93 (0.66–1.44)

0.94 (0.67–1.45)

0.9 (0.61–1.42)

0.273

1.16 (0.86–2.06)

1.16 (0.87–2.09)

1.18 (0.84–2.01)

0.624

Deaths, n (%)

62 (0.46)

50 (0.45)

12 (0.54)

0.678

77 (2.2)

44 (2.08)

33 (2.38)

0.640

Interventions before ICU admission

   

 < 0.001

   

0.485

  PCI, n (%)

7303 (54.3)

6222 (55.46)

1081 (48.45)

 

31 (0.88)

20 (0.95)

11 (0.79)

 

  Neurovascular interventions, n (%)

9 (0.07)

8 (0.07)

1 (0.04)

 

511 (14.58)

312 (14.74)

199 (14.33)

 

  CABG surgery, n (%)

1093 (8.13)

987 (8.8)

106 (4.75)

 

1 (0.03)

1 (0.05)

0 (0)

 

  Heart valve surgery, n (%)

26 (0.19)

18 (0.16)

8 (0.36)

 

1 (0.03)

1 (0.05)

0 (0)

 

  Aortic surgery, n (%)

2 (0.01)

1 (0.01)

1 (0.04)

 

1 (0.03)

1 (0.05)

0 (0)

 

  Cardiovascular unspecified, n (%)

209 (1.55)

173 (1.54)

36 (1.61)

 

100 (2.85)

52 (2.46)

48 (3.46)

 

  Other, n (%)

279 (2.07)

226 (2.01)

53 (2.38)

 

389 (11.1)

230 (10.87)

159 (11.45)

 

  None, n (%)

4485 (33.35)

3556 (31.7)

929 (41.64)

 

2452 (69.96)

1492 (70.51)

960 (69.11)

 

Interventions during ICU stay

        

  Interventions performed outside the ICU, n (%)*

3383 (25.15)

2838 (25.3)

545 (24.43)

0.402

1454 (41.48)

899 (42.49)

555 (39.96)

0.147

  Interventions performed inside the ICU, n (%)**

770 (5.73)

622 (5.54)

148 (6.63)

0.049

769 (21.94)

461 (21.79)

308 (22.17)

0.818

Mechanical ventilatory support, n (%)

1515 (11.26)

1330 (11.86)

185 (8.29)

 < 0.001

673 (19.2)

425 (20.09)

248 (17.85)

0.111

Supplementary ventilatory care***, n (%)

8862 (65.89)

7483 (66.71)

1379 (61.81)

 < 0.001

1710 (48.79)

1078 (50.95)

632 (45.5)

0.002

Vasoactive agents

        

  One, n (%)

2957 (21.99)

2520 (22.46)

437 (19.59)

0.003

990 (28.25)

595 (28.12)

395 (28.44)

0.868

  Multiple, n (%)

684 (5.09)

594 (5.3)

90 (4.03)

0.015

233 (6.65)

144 (6.81)

89 (6.41)

0.694

Renal replacement therapy, n (%)

119 (0.88)

94 (0.84)

25 (1.12)

0.239

13 (0.37)

8 (0.38)

5 (0.36)

1

  1. AMI, acute myocardial infarction; CABG, coronary artery bypass graft; LOS, length of stay in ICU; PCI, percutaneous coronary intervention; SAPS II, Simplified Acute Physiology Score II; NEMS, Nine Equivalents of Nursing Manpower Use Score; ICU, intensive care unit. p-values are reported for comparison between women and men. Comparisons were performed using t-test, nonparametric rank-sum test, or Chi-square test as appropriate
  2. *Specific interventions outside the ICU: surgical intervention or diagnostic procedures; the intervention/procedure is related to the severity of illness of the patient and makes an extra demand upon manpower efforts in the ICU
  3. **Specific interventions in the ICU: such as endotracheal intubation, introduction of pacemaker, cardioversion, endoscopy
  4. ***Spontaneous breathing via endotracheal or tracheostomy, supplementary oxygen with spontaneous breathing