What does this research mean for the field?

For patients with uncomplicated myocardial infarction, a two-week hospital stay provides similar clinical and functional outcomes at six months compared to a three-week stay, offering no additional benefit. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

May 31, 1973New England Journal of Medicine

Early Hospital Discharge after Myocardial Infarction

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Why the study?

Does a two-week hospital stay prevent adverse outcomes compared to a three-week stay in patients with uncomplicated myocardial infarction?

Population

138 patients with uncomplicated but definite myocardial infarction. Excluded: severe ventricular…

Comparison

Two-week hospital stay vs Three-week hospital stay

Design

RCT, randomized

Follow-up

six months

Authors

AHAdolph M. HutterGeneral Cardiology VSVictor W. SidelAmerican Heart Association KSKenneth I. ShineThe University of Texas at Austin

Discussion

Member takes

Implication

Supports two-week hospitalization after uncomplicated MI; confirms equivalent safety to three-week stay in RCT evidence.

Structured PICO

Does a two-week hospital stay prevent adverse outcomes compared to a three-week stay in patients with uncomplicated myocardial infarction?

Population

138 patients with uncomplicated but definite myocardial infarction. Excluded: severe ventricular arrhythmias, heart block, hypotension, persistence of coronary pain or congestive heart failure into the fifth day, or a prior myocardial infarction within the preceding six months.

Intervention

Two-week hospital stay

Comparator

Three-week hospital stay

Outcome

Frequency of return to work, anxiety or depression, development of angina or congestive heart failure, aneurysm formation, acute coronary insufficiency, myocardial infarction or death at six months follow-upcomposite

There appears to be no additional benefit to a three-week hospital stay compared to a two-week stay for patients with uncomplicated myocardial infarction.

Cite This Study

Hutter et al. (1973) studied this question.

synapsesocial.com/papers/6a1bd39dc97d63156a5efe91 https://doi.org/10.1056/nejm197305312882201

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Early Hospital Discharge after Myocardial Infarction

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Early Hospital Discharge after Myocardial Infarction

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider