Key result
Including versus excluding transferred patients with acute myocardial infarction altered hospital performance rankings, with mortality differences between highest and lowest ranked exceeding 1%.
Why the study?
Does the method of handling transferred patients with AMI impact hospital performance rankings based on 30-day mortality?
Population
91,633 adult patients admitted to 116 acute care hospitals in Quebec, Canada, with a primary diagnosis of…
Comparison
Different methods for handling transferred… vs Comparison among the 3 methods.
Design
Cohort
Follow-up
30-day
Authors
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Transfer inclusion may bias AMI mortality rankings; leaves open need for standardized methods in quality metrics.
Cohort (n=91,633)
Yes
Does the method of handling transferred patients with AMI impact hospital performance rankings based on 30-day mortality?
Excluding transferred patients with AMI may lead to inaccurate hospital performance rankings based on 30-day mortality rates.
Kosseim et al. (2006) conducted a cohort in Acute myocardial infarction (n=91,633). Inclusion of transferred patients in hospital mortality calculations vs. Exclusion of transferred patients was evaluated on Hospital performance ranks based on 30-day AMI mortality rates. Including versus excluding transferred patients with acute myocardial infarction altered hospital performance rankings, with mortality differences between highest and lowest ranked exceeding 1%.
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