What does this research mean for the field?

Between 1966-1967 and 1971, there were no significant improvements in the long-term survival or male in-hospital case fatality rates for patients with an initial myocardial infarction, reflecting a lack of major therapeutic advances during this period. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This study aims to evaluate changes in prognosis for patients following an initial myocardial infarction over two distinct time periods.

September 1, 1982Clinical Cardiology

Absence of secular changes in the prognosis of patients with an initial myocardial infarction

View Full Paper

Ask AI

Bookmark

Why the study?

Does the time period of hospitalization (1971 vs 1966-1967) improve in-hospital and long-term survival in patients with an initial myocardial infarction?

Key Points

This study aims to evaluate changes in prognosis for patients following an initial myocardial infarction over two distinct time periods.
Community-based study in Baltimore with 935 patients hospitalized for initial myocardial infarction
Examined in-hospital and long-term prognosis during the periods of 1966-1967 and 1971
Compared case fatality rates and overall survival rates between male and female patients across the two time periods.
In-hospital case fatality rate for males remained unchanged at 19.0% for both periods.
For females, case fatality decreased from 37.2% in 1966-1967 to 26.6% in 1971 (p < 0.10).
No significant differences in overall survival were observed for males or females between the two periods.

Structured PICO

Does the time period of hospitalization (1971 vs 1966-1967) improve in-hospital and long-term survival in patients with an initial myocardial infarction?

Population

935 male and female patients hospitalized with an initial myocardial infarction in metropolitan Baltimore

Intervention

Hospitalization in 1971

Comparator

Hospitalization in 1966-1967

Outcome

In-hospital case fatality rate and long-term overall survivalhard clinical

There was no significant improvement in long-term survival after initial myocardial infarction between 1966-1967 and 1971, highlighting the need for better primary and secondary prevention.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

No long-term survival gain after initial MI between eras; leaves open effects of care advances while underscoring prevention needs.

Cite This Study

Goldberg et al. (1982) studied this question.

synapsesocial.com/papers/6a12967db8b0b51fb9a3ee1f https://doi.org/10.1002/clc.4960050902

View Full Paper

Ask AI

Bookmark

Absence of secular changes in the prognosis of patients with an initial myocardial infarction

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Absence of secular changes in the prognosis of patients with an initial myocardial infarction

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider