Key result
Treatment in Veterans Health Administration facilities was associated with significantly higher one-year mortality compared to matched Medicare beneficiaries (35.2% vs 30.6% in 1999).
Why the study?
Does treatment in a VHA facility compared to a non-VHA Medicare facility affect the use of invasive procedures and mortality in elderly male patients with acute myocardial infarction?
Population
13,129 elderly male veterans hospitalized for acute myocardial infarction between October 1, 1996, and…
Comparison
Treatment in a Veterans Health Administration… vs Treatment in a non-VHA facility under Medicare
Design
Cohort
Follow-up
1 year
Authors
Loading...
Associated higher VHA mortality in elderly AMI patients should not change practice; leaves open whether facility type affects outcomes after matching.
Cohort (n=25,970)
Yes
Does treatment in a VHA facility compared to a non-VHA Medicare facility affect the use of invasive procedures and mortality in elderly male patients with acute myocardial infarction?
Absolute Event Rate: 35.2% vs 30.6%
p-value: p=0.01
Elderly male AMI patients treated in VHA facilities between 1996 and 1999 had lower rates of invasive cardiac procedures and higher one-year mortality compared to matched Medicare patients treated in non-VHA facilities.
Landrum et al. (2004) conducted a cohort in Acute Myocardial Infarction (n=25,970). Treatment in a Veterans Health Administration (VHA) facility vs. Treatment in a non-VHA facility under Medicare was evaluated on One-year mortality (1999 cohort) (p=0.01). Treatment in Veterans Health Administration facilities was associated with significantly higher one-year mortality compared to matched Medicare beneficiaries (35.2% vs 30.6% in 1999).