Why the study?
Does admission to large tertiary hospitals with continuous catheterisation facilities improve early and 1-year outcomes in patients with acute coronary syndrome compared to smaller regional hospitals?
Population
31,010 patients with acute coronary syndrome (ACS) from 76 Swiss hospitals enrolled between 1997 and 2009.
Comparison
Admission to type A hospitals. vs Admission to type B hospitals.
Design
Cohort
Follow-up
In-hospital and 1-year
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Similar adjusted ACS outcomes by hospital type; leaves open whether regional networks optimize care without tertiary centers.
Does admission to large tertiary hospitals with continuous catheterisation facilities improve early and 1-year outcomes in patients with acute coronary syndrome compared to smaller regional hospitals?
Hospital type (tertiary vs regional) was not an independent predictor of early and 1-year outcomes in ACS patients after adjusting for baseline differences, suggesting an efficient regional network of care.
A 2010 study studied this question.
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