Table 2.
Adjusted odds of gender differences in symptom presentation detected in discharge summaries from a gender-based assessment on acute myocardial infarction presentation and management using natural language processing in a dataset at Aga Khan University Hospital-Pakistan between 1998 and 2018.
| Symptom | Total, n (%) | Univariate | Multivariablea | ||
|
|
|
ORb (95% CI) | P value | OR (95% CI) | P value |
| Chest pain | 2164 (64.8) | 0.58 (0.5-0.68) | <.001 | 0.65 (0.55-0.75) | <.001 |
| Shortness of breath | 1384 (41.4) | 1.62 (1.4-1.87) | <.001 | 1.46 (1.26-1.7) | <.001 |
| Nausea or vomiting | 229 (6.9) | 1.91 (1.46-2.5) | <.001 | 1.85 (1.4-2.43) | <.001 |
| Sweating or diaphoresis | 225 (6.7) | 0.73 (0.54-0.99) | .05 | 0.74 (0.55-1.02) | .06 |
| Abdominal pain or discomfort | 190 (5.7) | 1.72 (1.28-2.32) | <.001 | 1.68 (1.24-2.26) | <.001 |
| Arm pain | 127 (3.8) | 0.84 (0.57-1.25) | .40 | 0.91 (0.61-1.35) | .63 |
| Cultural term—“Ghabrahat” | 138 (4.1) | 1.4 (0.99-1.99) | .06 | 1.36 (0.95-1.93) | .09 |
| Weakness | 95 (2.8) | 1.45 (0.95-2.2) | .08 | 1.33 (0.88-2.03) | .18 |
| Shoulder pain | 93 (2.8) | 1.02 (0.66-1.59) | .92 | 1.07 (0.68-1.67) | .77 |
| Palpitations | 71 (2.1) | 1.41 (0.87-2.28) | .16 | 1.5 (0.92-2.45) | .10 |
| Back pain | 59 (1.8) | 1.38 (0.81-2.34) | .23 | 1.39 (0.81-2.37) | .23 |
| Altered mental status | 57 (1.7) | 0.76 (0.42-1.38) | .37 | 0.77 (0.42-1.4) | .39 |
| Dizziness | 43 (1.3) | 1.04 (0.55-1.97) | .91 | 0.99 (0.52-1.9) | .98 |
| Jaw pain | 29 (0.9) | 2.32 (1.12-4.82) | .02 | 2.1 (1.01-4.4) | .05 |
| Orthopnea | 32 (1) | 1.68 (0.83-3.39) | .15 | 1.44 (0.71-2.92) | .31 |
| Neck pain | 16 (0.5) | 1.67 (0.62-4.51) | .31 | 1.62 (0.6-4.38) | .34 |
| Throat pain | 4 (0.1) | Omitted | —c | Omitted | — |
| Swelling | 1 (0) | Omitted | — | Omitted | — |
aThe multivariable model for each outcome (symptoms) was adjusted for diabetic status and age.
bOR: odds ratio.
cNot available.