Why the study?
Does admission to a rural hospital affect in-hospital mortality in Medicare patients with myocardial infarction compared to nonrural hospitals?
Population
11,753 Medicare patients older than 65 years hospitalized for acute myocardial infarction in Illinois in 1989.
Comparison
Admission to a completely rural hospital vs Admission to nonrural hospitals
Design
Cohort
Follow-up
in-hospital
Authors
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Rural MI admission showed a nonsignificant mortality trend and absent angiography; leaves open whether regional disparities warrant targeted study or intervention.
Does admission to a rural hospital affect in-hospital mortality in Medicare patients with myocardial infarction compared to nonrural hospitals?
There is a trend toward higher in-hospital mortality for acute myocardial infarction at rural hospitals, potentially linked to the lack of coronary angiography capabilities.
Hand et al. (1996) studied this question.
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