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December 3, 2015The Journal of Rural HealthOpen Access

Rural patients had increased odds of undergoing invasive revascularization during the initial episode of AMI care (OR = 1.11; 95% CI: 1.01-1.21; P = .02) and were more likely to undergo CABG (OR = 1.55; 95% CI: 1.35-1.78; P < .001) compared to urban patients, with no significant difference in in-hospital mortality.

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Why the study?

Does rural residence affect the rates of invasive revascularization and clinical outcomes in patients hospitalized with AMI compared to urban residence?

Population

27,926 patients hospitalized with a primary diagnosis of acute myocardial infarction in Washington State…

Comparison

Rural residence vs Urban residence

Design

Cohort

Authors

DBDaniel BechtoldGSGail G. SalvatierraEBEmily Bulley

Discussion

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Overview

Rural AMI patients' higher revascularization rates without mortality benefit should not change practice; leaves open transfer network optimization.

Structured PICO

Does rural residence affect the rates of invasive revascularization and clinical outcomes in patients hospitalized with AMI compared to urban residence?

P
Population
27,926 patients hospitalized with a primary diagnosis of acute myocardial infarction (AMI) in Washington State from 2009 to 2012 (25,156 urban dwellers and 2,770 rural residents).
I
Intervention
Rural residence
C
Comparator
Urban residence
O
Outcome
Rates of invasive versus medical management, in-hospital mortality, rehospitalization, and subsequent revascularization procedureshard clinical

Despite geographic barriers, rural patients hospitalized with AMI have higher rates of invasive revascularization and CABG compared to urban patients, heavily relying on transfer networks.

Cite This Study

Bechtold et al. (2015) studied this question.

synapsesocial.com/papers/6a0896d0ae7f011b61ddf2cehttps://doi.org/10.1111/jrh.12165
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Also Consider

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