What does this research mean for the field?

There are significant differences in practice patterns for managing acute myocardial infarction among clinicians of different specialties, and substantial discrepancies exist between stated and actual use of treatments, despite high overall use of aspirin and thrombolysis. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

March 1, 2000The Medical Journal of Australia

Stated and actual management of acute myocardial infarction among different specialties

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Why the study?

Does the stated and actual management of acute myocardial infarction differ among cardiologists, general physicians, and general practitioners?

Population

224 clinicians who manage patients with acute myocardial infarction, and 390 patients admitted for AMI…

Comparison

Management of acute myocardial infarction by… vs Comparison between different medical specialties

Design

Cross-sectional

Authors

LLLynette LimAustralian National University RHRichard F HellerGeneral / Preventive / Lipids RORachel O’ConnellRoyal Marsden NHS Foundation Trust

Discussion

Member takes

Implication

Specialty variations in stated AMI management persist; supports prior international observations yet leaves open effects on actual care and outcomes.

Structured PICO

Does the stated and actual management of acute myocardial infarction differ among cardiologists, general physicians, and general practitioners?

Population

224 clinicians (cardiologists, general/other physicians, and general practitioners) who manage patients with acute myocardial infarction (AMI), and 390 patients admitted for AMI between February and June 1996 across 47 public hospitals in New South Wales.

Intervention

Management of acute myocardial infarction by different medical specialties (cardiologists, general physicians, general practitioners)

Comparator

Comparison between different medical specialties

Outcome

Stated and actual use of treatments and investigations for acute myocardial infarction

There are significant variations in the stated and actual management of acute myocardial infarction among different medical specialties, though the use of aspirin and thrombolysis remains high across all groups.

Cite This Study

Lim et al. (2000) studied this question.

synapsesocial.com/papers/6a1def94ef3fa0b4c0ef9765 https://doi.org/10.5694/j.1326-5377.2000.tb123910.x

Topics

Echocardiography

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Implication

Specialty variations in stated AMI management persist; supports prior international observations yet leaves open effects on actual care and outcomes.

Stated and actual management of acute myocardial infarction among different specialties

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Stated and actual management of acute myocardial infarction among different specialties

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider