Table 8.
Pre‐ and In‐Hospital Characteristics Among Patients With ST‐Segment Elevation Myocardial Infarction Without Type 2 Diabetes Mellitus
| 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | P Value | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N (sample) | 12 812 | 12 228 | 12 604 | 11 901 | 10 320 | 9393 | 10 161 | 9052 | 9231 | 8462 | 8355 | |
| N (weighted) | 62 539 | 61 147 | 60 933 | 57 118 | 50 340 | 45 901 | 49 407 | 44 722 | 45 303 | 42 561 | 41 762 | |
| Prehospital, % | ||||||||||||
| Sex, % | ||||||||||||
| Male | 59.27 | 59.49 | 59.69 | 59.57 | 61.00 | 61.73 | 62.70 | 63.73 | 63.35 | 64.36 | 63.95 | <0.0001 |
| Female | 40.73 | 40.51 | 40.31 | 40.43 | 39.00 | 38.27 | 37.30 | 36.27 | 36.65 | 35.64 | 36.05 | <0.0001 |
| Age, y, % | ||||||||||||
| <55 | 19.84 | 20.23 | 21.95 | 21.70 | 21.55 | 23.46 | 25.61 | 25.75 | 24.67 | 26.23 | 25.93 | <0.0001 |
| 55 to 64 | 23.81 | 24.05 | 24.12 | 25.55 | 26.26 | 27.42 | 27.16 | 27.05 | 27.73 | 27.16 | 29.43 | <0.0001 |
| 65 to 74 | 27.35 | 26.63 | 25.46 | 25.14 | 24.77 | 22.53 | 23.12 | 22.28 | 23.98 | 23.07 | 22.90 | <0.0001 |
| 75 to 84 | 21.71 | 21.99 | 20.93 | 20.09 | 20.48 | 19.29 | 17.40 | 18.02 | 16.80 | 16.46 | 15.46 | <0.0001 |
| >84 | 7.29 | 7.09 | 7.54 | 7.52 | 6.95 | 7.30 | 6.70 | 6.89 | 6.82 | 7.08 | 6.29 | <0.0001 |
| Race, % | ||||||||||||
| White | 77.22 | 75.90 | 72.99 | 71.11 | 73.23 | 74.26 | 73.74 | 70.58 | 72.38 | 70.77 | 69.78 | <0.0001 |
| Black | 8.35 | 8.45 | 9.19 | 9.53 | 9.27 | 7.28 | 8.66 | 10.02 | 9.64 | 9.69 | 10.40 | <0.0001 |
| Hispanic | 8.85 | 9.93 | 10.28 | 12.40 | 10.35 | 11.57 | 10.93 | 11.42 | 9.52 | 10.42 | 11.22 | <0.0001 |
| Asian | 2.23 | 2.00 | 3.04 | 3.05 | 3.11 | 2.53 | 2.60 | 2.99 | 2.87 | 2.96 | 3.39 | <0.0001 |
| AI/NA | 0.43 | 0.34 | 0.43 | 0.28 | 0.45 | 0.42 | 0.68 | 0.88 | 1.12 | 0.68 | 1.26 | <0.0001 |
| Other | 2.93 | 3.39 | 4.06 | 3.64 | 3.60 | 3.94 | 3.39 | 4.11 | 4.48 | 5.49 | 3.95 | <0.0001 |
| CV risk factors, % | ||||||||||||
| TIA | 3.23 | 3.56 | 3.23 | 3.22 | 3.27 | 3.25 | 3.04 | 3.13 | 3.26 | 2.69 | 3.12 | <0.0001 |
| Heart failure | 31.51 | 29.93 | 30.67 | 31.37 | 31.57 | 29.91 | 28.15 | 30.14 | 27.86 | 28.51 | 27.27 | <0.0001 |
| Prior MI | 68.05 | 71.35 | 71.98 | 74.73 | 76.40 | 78.75 | 80.52 | 82.42 | 84.91 | 85.72 | 85.84 | <0.0001 |
| Hypertension | 60.00 | 61.62 | 64.15 | 66.09 | 68.27 | 68.39 | 72.04 | 72.71 | 72.90 | 75.88 | 75.24 | <0.0001 |
| Renal failure | 5.38 | 5.71 | 6.89 | 7.30 | 7.37 | 9.68 | 13.41 | 18.51 | 19.51 | 20.53 | 20.33 | <0.0001 |
| AFib | 12.73 | 12.73 | 12.73 | 12.73 | 12.73 | 12.73 | 12.73 | 12.73 | 12.73 | 12.73 | 12.73 | <0.0001 |
| Dyslipidemia | 33.37 | 36.28 | 42.36 | 45.33 | 49.20 | 53.11 | 57.06 | 60.55 | 62.59 | 63.49 | 65.06 | <0.0001 |
| PAD | 4.29 | 4.62 | 4.47 | 4.78 | 4.74 | 4.70 | 4.58 | 5.32 | 5.65 | 5.17 | 5.01 | <0.0001 |
| Cancer | 4.29 | 4.62 | 4.47 | 4.78 | 4.74 | 4.70 | 4.58 | 5.32 | 5.65 | 5.17 | 5.01 | <0.0001 |
| Dementia | 0.71 | 0.66 | 0.56 | 0.60 | 0.62 | 0.53 | 0.52 | 0.48 | 0.48 | 0.54 | 0.28 | <0.0001 |
| Tobacco use | — | — | 15.83 | 16.10 | 18.09 | 20.41 | 22.22 | 23.99 | 25.35 | 24.90 | 26.38 | <0.0001 |
| Obesity | — | — | 11.41 | 12.44 | 12.52 | 14.70 | 14.95 | 15.78 | 17.97 | 19.47 | 19.92 | <0.0001 |
| In‐hospital, % | ||||||||||||
| Shock | 6.30 | 6.66 | 7.14 | 7.50 | 7.74 | 8.43 | 8.66 | 9.45 | 10.11 | 10.72 | 10.72 | <0.001 |
| VFib | 4.67 | 4.64 | 5.09 | 5.08 | 5.43 | 5.37 | 5.60 | 6.00 | 6.29 | 6.81 | 6.93 | <0.0001 |
| Re‐Vasc | 66.72 | 68.47 | 70.35 | 72.12 | 73.82 | 78.31 | 80.75 | 82.56 | 84.56 | 86.89 | 87.84 | <0.0001 |
AFib indicates atrial fibrillation; AI/NA, American Indian or Native American; CV, cardiovascular; MI, myocardial infarction; PAD, peripheral arterial disease; Revasc, coronary revascularization procedure; TIA, transient ischemic attack; VFib, ventricular fibrillation.