Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Sex Differences in Discharge Patterns After AMI

Coron Artery Dis; ePub 2018 Jun 6; Perl, et al

Following acute myocardial infarction (AMI), discharge to skilled nursing facilities (SNFs) is more frequent in female patients, a recent study found. Researchers examined a cohort of 143,180 claims and carried out an observational analysis of 6,123 Medicare beneficiaries discharged following AMI during the first quarter of 2016. They found:

  • For patients referred from SNF, the rates of in-hospital death are higher, even after adjustment for baseline characteristics.
  • Of those discharged to SNF or home, 36.33% of the female patients were discharged to an SNF vs 25.12% of male patients.
  • After adjusting for baseline characteristics, discharge to SNF remained significantly higher among female patients.


Perl L, Peiffer V, Fuhrer AE, D’Ascenzo F, Pietzsch JB. Sex differences in discharge destination following acute myocardial infarction. [Published online ahead of print June 6, 2018]. Coron Artery Dis. doi:10.1097/MCA.0000000000000643.

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