January 1, 1989International Journal of Epidemiology
Diagnostic Criteria for Hospitalized Acute Myocardial Infarction: The Minnesota Experience
Why the study?
What are the optimal diagnostic criteria and algorithms for identifying hospitalized acute myocardial infarction cases from retrospective hospital records?
Population
Hospitalized patients evaluated for acute myocardial infarction (AMI)
Comparison
Diagnostic algorithms incorporating serum… vs Physician-reviewer diagnostic assignment
Design
Other
Authors
Discussion
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Member takes
Implication
Enzyme levels may best inform retrospective AMI algorithms; leaves open prospective validation before clinical use.
Structured PICO
What are the optimal diagnostic criteria and algorithms for identifying hospitalized acute myocardial infarction cases from retrospective hospital records?
P
Population
Hospitalized patients evaluated for acute myocardial infarction (AMI)
I
Intervention
Diagnostic algorithms incorporating serum cardiac enzyme levels (CK-TOT, CK-MB), chest pain, electrocardiographic findings, and hospital discharge diagnosis
C
Comparator
Physician-reviewer diagnostic assignment (validation standard)
O
Outcome
Correlation of diagnostic criteria with physician-reviewer diagnostic assignment
Serum cardiac enzymes (CK-TOT and CK-MB) and hospital discharge diagnosis are the most reliable elements for retrospective algorithmic identification of acute myocardial infarction in hospital records.
Cite This Study
Mascioli et al. (1989) studied this question.