Key result
Admission to a hospital with a cardiology department was associated with lower hospital mortality compared to hospitals without such departments (14.2% vs 15.4%; adjusted OR 0.91; 95% CI 0.83-0.99).
Why the study?
Does admission to a hospital with a cardiology department reduce hospital mortality in patients with acute myocardial infarction?
Observational (n=24,814)
Yes
Does admission to a hospital with a cardiology department reduce hospital mortality in patients with acute myocardial infarction?
Odds Ratio: 0.91 (95% CI 0.83–0.99)
Absolute Event Rate: 14.2% vs 15.4%
Admission to hospitals with dedicated cardiology departments for acute myocardial infarction is associated with higher utilization of guideline-recommended therapies and significantly lower in-hospital mortality.
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May support triage to cardiology-equipped hospitals in AMI; leaves open causal effect versus unmeasured confounding.
Martin Gottwik (2001) conducted an observational in acute myocardial infarction (n=24,814). Admission to hospitals with departments of cardiology vs. Admission to hospitals without departments of cardiology was evaluated on hospital mortality (adjusted OR 0.91, 95% CI 0.83-0.99). Admission to a hospital with a cardiology department was associated with lower hospital mortality compared to hospitals without such departments (14.2% vs 15.4%; adjusted OR 0.91; 95% CI 0.83-0.99).
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