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October 1, 1987CHEST Journal239 citationsOpen Access

Death by Pulmonary Artery Flow-Directed Catheter (editorial)

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EREugene D. Robin

Key Result

Pulmonary artery catheter use in patients hospitalized with acute myocardial infarction significantly increased over time, rising from 7.2% in 1975 to 19.9% in 1984 (p<0.001).

Structured PICO

What are the temporal trends in the use of pulmonary artery catheters in patients with acute myocardial infarction?

P
Population
3,263 patients hospitalized with validated acute myocardial infarction across 16 hospitals in Worcester, Massachusetts during 1975, 1978, 1981, and 1984.
E
Exposure
Pulmonary artery (PA) catheter use
O
Outcome
Temporal trends in the use of the pulmonary artery (PA) catheter

The use of pulmonary artery catheters in patients with acute myocardial infarction significantly increased between 1975 and 1984, raising important safety concerns.

Main Result

p-value: p=<.001

Abstract

A study by Gore et al in this issue of Chest (see page 721) raises some critically important issues involving the safety of large numbers of patients. A Community-Wide Assessment of the Use of Pulmonary Artery Catheters in Patients with Acute Myocardial InfarctionCHESTVol. 92Issue 4PreviewAs part of an on-going population-based study of patients hospitalized with acute myocardial infarction (MI) in all 16 hospitals in the Worcester, Massachusetts Standard Metropolitan Statistical Area, temporal trends in the use of the pulmonary artery (PA) catheter were examined. Three thousand two hundred and sixty-three patients with validated acute MI during the calendar years 1975, 1978, 1981 and 1984 comprised the study population. There has been a consistent and significant increase in PA catheter use in patients with acute MI over time, from 7.2 percent in 1975, 13.8 percent in 1978, 14.8 percent in 1981 to 19.9 percent in 1984 (p<.001). Full-Text PDF

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Cite This Study

Eugene D. Robin (1987) conducted an editorial in acute myocardial infarction (n=3,263). Pulmonary artery (PA) catheter use was evaluated on Temporal trends in the use of the pulmonary artery (PA) catheter (p=<.001). Pulmonary artery catheter use in patients hospitalized with acute myocardial infarction significantly increased over time, rising from 7.2% in 1975 to 19.9% in 1984 (p<0.001).

synapsesocial.com/papers/6aa4b5e86803e1e7a1f2d4f5https://doi.org/10.1378/chest.92.4.727
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