{"id":"https://openalex.org/W7220934205","doi":"https://doi.org/10.7759/cureus.117628","title":"Sex Disparities in Acute Myocardial Infarction Hospitalization, Mortality, and Coronary Angioplasty in the Brazilian Public Health System: A Nationwide Time-Series Study From 2008 to 2024","display_name":"Sex Disparities in Acute Myocardial Infarction Hospitalization, Mortality, and Coronary Angioplasty in the Brazilian Public Health System: A Nationwide Time-Series Study From 2008 to 2024","publication_year":2026,"publication_date":"2026-10-08","ids":{"openalex":"https://openalex.org/W7220934205","doi":"https://doi.org/10.7759/cureus.117628","pmid":"https://pubmed.ncbi.nlm.nih.gov/42999801","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13744090"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.117628","doi":"https://doi.org/10.7759/cureus.117628","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117628","pdf_url":"https://www.cureus.com/articles/540324-sex-disparities-in-acute-myocardial-infarction-hospitalization-mortality-and-coronary-angioplasty-in-the-brazilian-public-health-system-a-nationwide-time-series-study-from-2008-to-2024.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/540324-sex-disparities-in-acute-myocardial-infarction-hospitalization-mortality-and-coronary-angioplasty-in-the-brazilian-public-health-system-a-nationwide-time-series-study-from-2008-to-2024.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052456029","display_name":"Humberto Graner Moreira","orcid":"https://orcid.org/0000-0001-6465-0780","observed_orcids":["https://orcid.org/0000-0001-6465-0780"]},"institutions":[{"id":"https://openalex.org/I68106152","display_name":"Universidade Federal de Goi\u00e1s","ror":"https://ror.org/0039d5757","country_code":"BR","type":"education","lineage":["https://openalex.org/I68106152"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Humberto G Moreira","raw_affiliation_strings":["Medicine, Universidade Federal de Goi\u00e1s, Goi\u00e2nia, BRA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medicine, Universidade Federal de Goi\u00e1s, Goi\u00e2nia, BRA","institution_ids":["https://openalex.org/I68106152"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114614787","display_name":"Yasmin Siqueira de moraes","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yasmin S Moraes","raw_affiliation_strings":["Medicine, Faculdade Morgana Potrich (FAMP), Mineiros, BRA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medicine, Faculdade Morgana Potrich (FAMP), Mineiros, BRA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157938291","display_name":"Isadora Rodrigues G Campos","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Isadora Rodrigues G Campos","raw_affiliation_strings":["Medicine, Faculdade da Sa\u00fade e Ecologia Humana, Vespasiano, BRA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medicine, Faculdade da Sa\u00fade e Ecologia Humana, Vespasiano, BRA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157961435","display_name":"Maria Eduarda Silva F Moraes","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Maria Eduarda Silva F Moraes","raw_affiliation_strings":["Medicine, Faculdade Zarns, Itumbiara, BRA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medicine, Faculdade Zarns, Itumbiara, BRA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5157941866","display_name":"Daniel P Coelho","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I68106152","display_name":"Universidade Federal de Goi\u00e1s","ror":"https://ror.org/0039d5757","country_code":"BR","type":"education","lineage":["https://openalex.org/I68106152"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Daniel P Coelho","raw_affiliation_strings":["Medicine, Universidade Federal de Goi\u00e1s, Goi\u00e2nia, BRA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medicine, Universidade Federal de Goi\u00e1s, Goi\u00e2nia, BRA","institution_ids":["https://openalex.org/I68106152"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.75788733,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"10","first_page":"e117628","last_page":"e117628"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.9160000085830688,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.9160000085830688,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13252","display_name":"Sex and Gender in Healthcare","score":0.08139999955892563,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10193","display_name":"Coronary Interventions and Diagnostics","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/sex-disparities","display_name":"sex disparities","score":0.8100000023841858},{"id":"https://openalex.org/keywords/acute-myocardial-infarction","display_name":"acute myocardial infarction","score":0.9990000128746033},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.5590000152587891},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.9330000281333923},{"id":"https://openalex.org/keywords/coronary-angioplasty","display_name":"coronary angioplasty","score":0.9919999837875366},{"id":"https://openalex.org/keywords/acute-coronary-care","display_name":"acute coronary care","score":0.6840000152587891},{"id":"https://openalex.org/keywords/unified-health-system-sus","display_name":"Unified Health System (SUS)","score":0.859000027179718},{"id":"https://openalex.org/keywords/women-s-health","display_name":"women's health","score":0.4230000078678131}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9872999787330627},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.72079998254776},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5835999846458435},{"id":"https://openalex.org/C2780326628","wikidata":"https://www.wikidata.org/wiki/Q539795","display_name":"Angioplasty","level":2,"score":0.5260999798774719},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.46860000491142273},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4505999982357025},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.42010000348091125},{"id":"https://openalex.org/C3018906752","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary heart disease","level":2,"score":0.38179999589920044},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.33169999718666077},{"id":"https://openalex.org/C3020416370","wikidata":"https://www.wikidata.org/wiki/Q2008344","display_name":"Primary angioplasty","level":4,"score":0.3312999904155731},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3142000138759613},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2912999987602234},{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.26249998807907104},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2540000081062317}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.7759/cureus.117628","doi":"https://doi.org/10.7759/cureus.117628","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117628","pdf_url":"https://www.cureus.com/articles/540324-sex-disparities-in-acute-myocardial-infarction-hospitalization-mortality-and-coronary-angioplasty-in-the-brazilian-public-health-system-a-nationwide-time-series-study-from-2008-to-2024.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmid:42999801","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42999801","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.7759/cureus.117628","doi":"https://doi.org/10.7759/cureus.117628","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117628","pdf_url":"https://www.cureus.com/articles/540324-sex-disparities-in-acute-myocardial-infarction-hospitalization-mortality-and-coronary-angioplasty-in-the-brazilian-public-health-system-a-nationwide-time-series-study-from-2008-to-2024.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":1.0,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220934205.pdf","grobid_xml":"https://content.openalex.org/works/W7220934205.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W2163278718","https://openalex.org/W2605558819","https://openalex.org/W2787250223","https://openalex.org/W2921080115","https://openalex.org/W2977566604","https://openalex.org/W3134310144","https://openalex.org/W3141153493","https://openalex.org/W4307897169","https://openalex.org/W4379233190","https://openalex.org/W4415835691","https://openalex.org/W4417535530","https://openalex.org/W7125619150","https://openalex.org/W7162793809"],"related_works":["https://openalex.org/W4391652026","https://openalex.org/W3182247235","https://openalex.org/W3148912096","https://openalex.org/W7212988346","https://openalex.org/W7171489558","https://openalex.org/W2078192745","https://openalex.org/W7128082645","https://openalex.org/W4413305440","https://openalex.org/W2028683927","https://openalex.org/W3153037748"],"abstract_inverted_index":{"Background":[0],"Women":[1,242],"with":[2,48,59,69,269],"acute":[3,20,49],"myocardial":[4,50,294],"infarction":[5,51,60,68],"are":[6],"treated":[7],"less":[8],"invasively":[9],"than":[10],"men":[11,128,153,177,234,266],"and":[12,65,77,89,108,129,142,154,164,167,178,188,211,219,235,250,278,291],"die":[13],"in":[14,91,127,136,152,161,176,185,233,240,247,298],"hospital":[15],"more":[16],"often.":[17],"Whether":[18],"expanding":[19],"coronary":[21,70],"care":[22],"narrows":[23],"these":[24],"differences":[25],"is":[26],"unknown.":[27],"Methods":[28],"We":[29,102],"conducted":[30],"a":[31,98],"nationwide":[32],"time-series":[33],"study":[34],"of":[35,262],"the":[36,55,62,80,92,116,258,302],"Brazilian":[37],"public":[38,287],"health":[39],"system":[40,288],"from":[41,121,130,146,155,170,179,229,236,254],"2008":[42,113],"through":[43],"2024.":[44],"Outcomes":[45],"were":[46,73,84],"hospitalization":[47,118],"(ICD-10":[52],"I21-I23)":[53],"as":[54,61,97,267],"principal":[56],"diagnosis,":[57],"death":[58,264],"underlying":[63],"cause,":[64],"admission":[66,290],"for":[67,265,293],"angioplasty.":[71],"Rates":[72],"standardized":[74,224],"by":[75,86],"age":[76,252],"sex":[78,93],"to":[79,114,123,132,148,157,172,181,201,205,209,231,238,276],"2022":[81],"Census.":[82],"Trends":[83],"estimated":[85],"Prais-Winsten":[87],"regression,":[88],"change":[90,281],"disparity":[94],"was":[95,215,271],"tested":[96],"sex-by-year":[99,213],"interaction.":[100],"Results":[101],"analyzed":[103],"1,927,152":[104],"admissions,":[105],"1,513,299":[106],"deaths,":[107],"543,290":[109],"angioplasty":[110,168,292],"admissions.":[111],"From":[112],"2024":[115],"age-standardized":[117],"rate":[119,193],"rose":[120,169],"59.8":[122],"111.7":[124],"per":[125,134,150,159,174,183],"100,000":[126,135,151,160,175,184],"33.8":[131],"60.0":[133],"women":[137,162,186,270],"(annual":[138],"percent":[139],"change,":[140],"+3.69%":[141],"+3.34%);":[143],"mortality":[144],"fell":[145,228],"69.0":[147],"54.4":[149],"46.8":[156],"34.1":[158],"(-1.44%":[163],"-1.92%,":[165],"respectively);":[166],"11.1":[171],"41.8":[173],"5.0":[180],"20.1":[182],"(+8.22%":[187],"+8.17%,":[189],"respectively).":[190],"The":[191],"men-to-women":[192],"ratio":[194],"stayed":[195],"within":[196],"narrow":[197],"bands":[198],"(hospitalization,":[199],"1.76":[200],"1.87;":[202],"mortality,":[203],"1.47":[204],"1.60;":[206],"angioplasty,":[207],"2.08":[208],"2.22),":[210],"no":[212],"interaction":[214],"significant":[216],"(p=0.20,":[217],"p=0.10":[218],"p=0.24).":[220],"Among":[221],"admitted":[222],"patients,":[223],"in-hospital":[225,263],"case":[226,245],"fatality":[227,246],"12.9%":[230],"7.0%":[232],"16.1%":[237],"8.3%":[239],"women.":[241],"had":[243],"higher":[244],"every":[248,251],"year":[249],"group":[253],"40":[255],"years":[256],"onward;":[257],"adjusted":[259],"relative":[260],"risk":[261],"compared":[268],"0.84":[272],"(95%":[273],"CI,":[274],"0.83":[275],"0.85)":[277],"did":[279,306],"not":[280,307],"over":[282],"time":[283],"(p=0.89).":[284],"Conclusions":[285],"Brazil's":[286],"expanded":[289],"infarction;":[295],"outcomes":[296],"improved":[297],"both":[299],"sexes,":[300],"but":[301],"gap":[303],"between":[304],"them":[305],"close.":[308]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-10-09T00:00:00"}
