Why the study?
Does rural residence affect mortality and revascularization rates in veterans admitted for acute myocardial infarction?
Population
15,870 veterans admitted for acute myocardial infarction to all Veterans Health Administration hospitals
Comparison
Rural residence vs Urban residence
Design
Cohort
Follow-up
30-day
Key result
Rural veterans with AMI had similar 30-day mortality to urban veterans, but lower revascularization rates when classified by the RUCA system (HR 0.89; 95% CI 0.83-0.95 for small/large towns).
Authors
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Similar short-term mortality despite lower revascularization rates is reassuring for rural veterans; leaves open questions on classification systems and long-term equity.
Cohort (n=15,870)
Yes
Does rural residence affect mortality and revascularization rates in veterans admitted for acute myocardial infarction?
Hazard Ratio: 0.89 (95% CI 0.83–0.95)
Rural veterans admitted for AMI have similar 30-day mortality but potentially lower rates of revascularization compared to urban veterans, depending on the rural classification system used.
Abrams et al. (2010) conducted a cohort in Acute myocardial infarction (n=15,870). Rural residence vs. Urban residence was evaluated on Coronary revascularization (HR 0.89, 95% CI 0.83-0.95). Rural veterans with AMI had similar 30-day mortality to urban veterans, but lower revascularization rates when classified by the RUCA system (HR 0.89; 95% CI 0.83-0.95 for small/large towns).
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