Regional Variation across the United States in the Management of Acute Myocardial Infarction
Why the study?
Does the management of acute myocardial infarction vary across census regions in the United States?
Population
21,772 patients with acute myocardial infarction from the GUSTO-1 trial in the United States
Comparison
Management in specific US census regions vs Management in other US census regions
Design
Cohort
Follow-up
1 year
Authors
Discussion
Loading...
Member takes
Implication
Regional variation in AMI angiography use was unlinked to mortality; leaves open optimal utilization standards.
Structured PICO
Does the management of acute myocardial infarction vary across census regions in the United States?
P
Population
21,772 patients with acute myocardial infarction from the GUSTO-1 trial in the United States
I
Intervention
Management in specific US census regions (e.g., New England)
C
Comparator
Management in other US census regions
O
Outcome
Use of cardiac medications and procedures (angiography, angioplasty, coronary-artery bypass surgery)
There is substantial regional variation in the management of acute myocardial infarction across the United States, which does not appear to affect 30-day or 1-year rates of recurrent infarction or death.
Cite This Study
Pilote et al. (1995) studied this question.