Admission to Hospitals With On-Site Cardiac Catheterization Facilities
Why the study?
Does admission to hospitals with on-site cardiac catheterization facilities improve long-term mortality and reduce hospital costs in elderly Medicare patients with acute myocardial infarction?
Population
2,521 elderly Medicare patients with acute myocardial infarction from the Cooperative Cardiovascular Project…
Comparison
Admission to hospitals with on-site cardiac… vs Admission to hospitals without on-site cardiac…
Design
Cohort
Follow-up
3 years
Authors
Discussion
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Member takes
Implication
Similar mortality and costs regardless of on-site catheterization; extends prior observational data showing no short-term outcome benefit.
Structured PICO
Does admission to hospitals with on-site cardiac catheterization facilities improve long-term mortality and reduce hospital costs in elderly Medicare patients with acute myocardial infarction?
P
Population
2,521 elderly Medicare patients with acute myocardial infarction from the Cooperative Cardiovascular Project pilot in Connecticut (1992-1993).
I
Intervention
Admission to hospitals with on-site cardiac catheterization facilities
C
Comparator
Admission to hospitals without on-site cardiac catheterization facilities
O
Outcome
Long-term hospital costs and outcomes (mortality at 3 years)hard clinical
Admission to hospitals with on-site cardiac catheterization facilities for acute MI in elderly patients does not significantly improve long-term mortality or alter total hospital costs compared to hospitals without such facilities.
Cite This Study
Krumholz et al. (1998) studied this question.