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The results of trim-and-fill analysis showed that 1 study may have been missing, and its addition would make the RR 1. Gender differences in long-term outcome after primary percutaneous intervention for ST-segment elevation myocardial infarction. Conflict of Interest Disclosures: This oversampling of men may possibly be due to selection bias. From a total of citations identified, 35 studies 5 - 28 , 30 - 40 were included for qualitative synthesis.

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Data were pooled using a random-effects model.

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The European Health Report Sex-based differences in clinical practice and outcomes for Japanese patients with acute myocardial infarction undergoing primary percutaneous coronary intervention. However, in the adjusted analysis, using adjusted RRs from 12 studies, the strength of association for all-cause mortality in women compared with men, though remaining significant, was significantly attenuated RR, 1. Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. Drs Pancholy and Shantha had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Our observation of poorer outcomes among women could be attributed to only the more severe cases in women reaching the health care system, while some less-severe cases among women did not present to the health care system and were underreported in these studies. Sex-related analysis of short- and long-term clinical outcomes and bleeding among patients treated with primary percutaneous coronary intervention:

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