Key result
MI and stroke hospital mortality declined despite the proportion of post-transfer MI deaths doubling.
Why the study?
Patterns in time, place, and cause of death after myocardial infarction and stroke admissions can impact hospital mortality rates, but these patterns and their trends over time were not quantified in Dutch hospitals.
Observational (n=303,399)
Yes
Changes in the timing and place of death following MI and stroke admissions highlight the limitations of using only in-hospital mortality as a measure of hospital performance.
No takes yet. Share an insight, caveat, or question.
May misrepresent MI and stroke hospital performance by overlooking post-transfer deaths; leaves open whether in-hospital metrics alone suffice for quality assessment.
Slobbe et al. (2008) conducted an observational in Myocardial infarction and stroke (n=303,399). Hospital admission for myocardial infarction or stroke (1996-2003) was evaluated on Trends in 30-day, 90-day, and 365-day mortality rates. Between 1996 and 2003, hospital mortality for both myocardial infarction and stroke declined across seven different indicators, though the proportion of deaths occurring after transfer doubled for MI.
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