Why the study?
Does initial admission to hospitals with catheterization facilities improve mortality or readmission rates in patients with acute myocardial infarction compared to hospitals without catheterization facilities?
Population
34,961 patients discharged during 1999-2001 with a principal diagnosis of acute myocardial infarction from a…
Comparison
Initial admission to hospitals with diagnostic… vs Initial admission to hospitals without…
Design
Cohort
Follow-up
Up to 5 years for mortality (till end of 2003)
Authors
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Supports initial AMI care at non-interventional hospitals; leaves open selective transfer criteria to optimize costs.
Does initial admission to hospitals with catheterization facilities improve mortality or readmission rates in patients with acute myocardial infarction compared to hospitals without catheterization facilities?
Initial admission to hospitals with catheterization facilities for AMI did not improve long-term mortality or readmission rates but was associated with significantly higher costs compared to hospitals without such facilities.
Brabandt et al. (2006) studied this question.
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