Quality of Care for Myocardial Infarction at Academic and Nonacademic Hospitals

被引：14

作者：

Belle, Loic ^{[2
]}

Labarere, Jose ^{[1
,3
]}

Fourny, Magali ^{[1
]}

Drouet, Elodie ^{[4
]}

Mulak, Genevieve ^{[5
]}

Dujardin, Jean-Jacques

Vilarem, Didier ^{[6
]}

Bonnet, Philippe ^{[7
]}

Hanssen, Michel

Simon, Tabassome ^{[4
,8
]}

Ferrieres, Jean ^{[9
,10
]}

Danchin, Nicolas ^{[11
,12
]}

机构：

[1] Grenoble Univ Hosp, Qual Care Unit, F-38043 Grenoble 9, France

[2] Annecy Gen Hosp, Dept Cardiol, Annecy, France

[3] Univ Grenoble 1, CNRS, UMR 5525, TIMC, F-38041 Grenoble, France

[4] St Antoine Hosp, AP HP, URC EST, St Antoine, France

[5] Soc Francaise Cardiol, Paris, France

[6] Valenciennes Gen Hosp, Dept Cardiol, Valence, France

[7] Le Havre Gen Hosp, Dept Cardiol, Le Havre, France

[8] Univ Paris 06, F-75252 Paris 05, France

[9] Toulouse Univ Hosp, Dept Cardiol, Toulouse, France

[10] Univ Toulouse 3, INSERM, UMR 558, F-31062 Toulouse, France

[11] Hop Europeen Georges Pompidou, AP HP, Div Coronary Artery Dis & Intens Cardiac Care, Pompidou, France

[12] Univ Paris 05, F-75270 Paris 06, France

来源：

AMERICAN JOURNAL OF MEDICINE | 2012年 / 125卷 / 04期

关键词：

Academic medical centers; Mortality; Myocardial infarction; Quality of health care; ST-SEGMENT-ELEVATION; PERCUTANEOUS CORONARY INTERVENTION; NONTEACHING HOSPITALS; TEACHING HOSPITALS; NATIONAL REGISTRY; PATIENT OUTCOMES; FRENCH REGISTRY; FAST-MI; MORTALITY; REPERFUSION;

D O I：

10.1016/j.amjmed.2011.11.015

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND: Whether academic hospitals provide better quality of care for patients with acute myocardial infarction is widely debated. The aim of this study was to compare processes of care and mortality between academic and nonacademic hospitals in the contemporary era of acute myocardial infarction management. METHODS: We analyzed the original data from a prospective cohort study of 3059 patients, including 1714 with ST-segment elevation and 1345 with non-ST-segment elevation myocardial infarction, enrolled at 39 and 183 academic and nonacademic hospitals, respectively, in France. RESULTS: Unadjusted 1-year mortality for academic and nonacademic hospitals was 10% versus 15% for patients with ST-segment elevation myocardial infarction (P = .01) and 13% versus 14% for patients with non-ST-segment elevation myocardial infarction (P = .75). Patients treated in academic or nonacademic hospitals with percutaneous coronary intervention capability were more likely to receive reperfusion and recommended drug therapies than those treated in nonacademic hospitals without percutaneous coronary intervention capability. After adjusting for baseline characteristics, the hazards of death associated with admission to nonacademic hospitals with and without percutaneous coronary intervention capability relative to academic hospitals were 1.13 (95% confidence interval [CI], 0.79-1.62) and 1.65 (95% CI, 1.09-2.49) for those with ST-segment elevation myocardial infarction and 0.95 (95% CI, 0.66-1.36) and 1.06 (95% CI, 0.72-1.58) for those with non-ST-segment elevation myocardial infarction, respectively. Further adjustment for receipt of acute reperfusion and recommended drug therapies eliminated all differences in mortality between the study groups. CONCLUSION: Admission to academic hospitals was associated with a more frequent use of recommended therapies, conveying a survival advantage for patients with ST-segment elevation myocardial infarction. (C) 2012 Elsevier Inc. All rights reserved. The American Journal of Medicine (2012) 125, 365-373

引用

页码：365 / 373

页数：9

共 50 条

[31] Clinical Features of Early Myocardial Rupture of Acute Myocardial Infarction
Suzuki, Makoto
Enomoto, Daijiro
Seike, Fumiyasu
Fujita, Shimpei
Honda, Kazuo
ANGIOLOGY, 2012, 63 (06) : 453 - 456
[32] Narrowing performance gap between rural and urban hospitals for acute myocardial infarction care
Alghanem, Fares
Clements, John M.
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2020, 38 (01) : 89 - 94
[33] Outcomes Among Patients With ST-Segment-Elevation Myocardial Infarction Presenting to Interventional Hospitals With and Without On-Site Cardiac Surgery
Pride, Yuri B.
Canto, John G.
Frederick, Paul D.
Gibson, C. Michael
CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES, 2009, 2 (06): : 574 - 582
[34] Impact of Regional Systems of Care on Disparities in Care Among Female and Black Patients Presenting With ST-Segment-Elevation Myocardial Infarction
Hinohara, Tomoya T.
Al-Khalidi, Hussein R.
Fordyce, Christopher B.
Gu, Xiangqiong
Sherwood, Matthew W.
Roettig, Mayme L.
Corbett, Claire C.
Monk, Lisa
Tamis-Holland, Jacqueline E.
Berger, Peter B.
Burchenal, J. E. B.
Wilson, B. Hadley
Jollis, James G.
Granger, Christopher B.
JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2017, 6 (10):
[35] Immigrant status and disparities in health care delivery in patients with myocardial infarction
Lee, Chi-Hang
Choo, Hyekyung
Tai, Bee-Choo
Chan, Mark Y.
Phua, Qian-Hui
Low, Ting-Ting
Richards, A. Mark
Tan, Huay-Cheem
Ow, Rosaleen
Yeo, Tiong-Cheng
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2013, 166 (03) : 696 - 701
[36] Trends in Regionalization of Care for ST-Segment Elevation Myocardial Infarction
Hsia, Renee Y.
Sabbagh, Sarah
Sarkar, Nandita
Sporer, Karl
Rokos, Ivan C.
Brown, John F.
Brindis, Ralph G.
Guo, Joanna
Shen, Yu-Chu
WESTERN JOURNAL OF EMERGENCY MEDICINE, 2017, 18 (06) : 1010 - 1017
[37] Time of admission, quality of PCI care, and outcome of patients with ST-elevation myocardial infarction
Maier, Birga
Behrens, Steffen
Graf-Bothe, Claudia
Kuckuck, Holger
Roehnisch, Jens-Uwe
Schoeller, Ralph G.
Schuehlen, Helmut
Theres, Heinz P.
CLINICAL RESEARCH IN CARDIOLOGY, 2010, 99 (09) : 565 - 572
[38] Quality of Care for Patients with Acute Myocardial Infarction. Cienfuegos 2011
Delgado Acosta, Hilda Maria
Pedraza Alejo, Dania
Valladares Carvajal, Francisco de Jesus
Lastre Navarro, Karelys
Hernandez Torres, Lucia
Avila Pina, Darehyne
FINLAY, 2013, 3 (03): : 172 - 182
[39] Choice of Reperfusion Strategy at Hospitals With Primary Percutaneous Coronary Intervention A National Registry of Myocardial Infarction Analysis
Fazel, Reza
Krumholz, Harlan M.
Bates, Eric R.
French, William J.
Frederick, Paul D.
Nallamothu, Brahmajee K.
CIRCULATION, 2009, 120 (24) : 2455 - 2461
[40] Suboptimal medical care of patients with ST-Elevation Myocardial Infarction and Renal Insufficiency: results from the Korea acute Myocardial Infarction Registry
Choi, Joon Seok
Kim, Chang Seong
Bae, Eun Hui
Ma, Seong Kwon
Jeong, Myung Ho
Kim, Young Jo
Cho, Myeong Chan
Kim, Chong Jin
Kim, Soo Wan
BMC NEPHROLOGY, 2012, 13

← 1 2 3 4 5 →