Key result
Hospitals initiate post-AMI statins in ~87% of patients but intensification rates remain low and variable.
Why the study?
What are the rates and hospital variations of statin initiation, intensification, and maximization among patients hospitalized with an acute myocardial infarction?
Cohort (n=4,340)
Yes
What are the rates and hospital variations of statin initiation, intensification, and maximization among patients hospitalized with an acute myocardial infarction?
While statin initiation rates post-AMI are high and uniform across hospitals, rates of statin intensification and maximization are low and highly variable, suggesting a need to update performance measures to include statin intensity.
No takes yet. Share an insight, caveat, or question.
Low post-AMI statin intensification and maximization with hospital variation may indicate gaps; leaves open whether updated performance measures improve outcomes.
Arnold et al. (2014) conducted a cohort in Acute myocardial infarction (n=4,340). Statin therapy (initiation, intensification, and maximization) was evaluated on Site variation in statin initiation, intensification, and discharge on maximal therapy. Statin initiation during hospitalization for acute myocardial infarction was high (87%), but rates of statin intensification (26%) and maximization (23%) were low and varied substantially by hospital.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: