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August 1, 2000Journal of Epidemiology & Community HealthOpen Access

Mortality after acute myocardial infarction is lower in metropolitan regions than in non-metropolitan regions

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Why the study?

Does care in non-metropolitan hospitals increase in-hospital mortality in patients with acute myocardial infarction compared to metropolitan hospitals?

Population

1665 patients with a principal discharge diagnosis of acute myocardial infarction from February to June 1996…

Comparison

Care in non-metropolitan hospitals vs Care in metropolitan hospitals

Design

Cohort

Follow-up

7 days (in-hospital)

Authors

HVHuy Duc VuKyungpook National University

Discussion

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Overview

Higher AMI mortality in non-metropolitan hospitals was associated with medication underuse; hypothesis-generating for targeted quality-improvement trials.

Structured PICO

Does care in non-metropolitan hospitals increase in-hospital mortality in patients with acute myocardial infarction compared to metropolitan hospitals?

P
Population
1665 patients with a principal discharge diagnosis of acute myocardial infarction (AMI) from February to June 1996 across 47 acute public hospitals in New South Wales, Australia.
I
Intervention
Care in non-metropolitan hospitals
C
Comparator
Care in metropolitan hospitals
O
Outcome
In-hospital mortality (assessed as seven day mortality)hard clinical

Higher severity-adjusted in-hospital mortality for acute myocardial infarction in non-metropolitan hospitals compared to metropolitan hospitals appears to be largely explained by the underutilization of effective cardiac medications.

Cite This Study

Huy Duc Vu (2000) studied this question.

synapsesocial.com/papers/6a99e1db4e49e699219e3bedhttps://doi.org/10.1136/jech.54.8.590
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Also Consider

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  4. 4Scottish death rates published with health warning: FIG1994 · 21 citations
  5. 5The Association Between Hospital Volume and Survival After Acute Myocardial Infarction in Elderly Patients2000 · 50 citations