Outcome of Thrombolytic Therapy in Relation to Hospital Size and Invasive Cardiac Services
| Autor: | Eric Sandoe, Frans Van de Werf, John Simes, Kenneth Pehrsson, Robert G. Wilcox, Rafael Diaz, A Kristinsson, Harvey D. White, John R. Hampton, Gerhard von der Lippe, Juhani Heikkilä, Gabriel I. Barbash, Spiros Moulopoulos, Marc Verstraete, Tyeerd Van der Werf, Michaela Modan, E A Paolasso |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Time to treatment medicine.disease Logistic regression Coronary revascularization Angina Bypass surgery Internal medicine Angioplasty Emergency medicine Internal Medicine Cardiology Medicine In patient Myocardial infarction business |
| Zdroj: | Archives of Internal Medicine. 154:2237 |
| ISSN: | 0003-9926 |
| DOI: | 10.1001/archinte.1994.00420190141016 |
| Popis: | Objective: The outcome of patients with acute myocardial infarction who received thrombolytic therapy was assessed in relation to the size and comprehensiveness of cardiovascular services in the admitting hospitals. Methods: Two characteristics were obtained for each of the 438 hospitals: number of beds and in-house availability of cardiovascular services (coronary catheterization laboratory and coronary angioplasty or bypass surgery). Hospitals were grouped into four categories on the basis of size (≤300 vs >300 beds) and availability of cardiovascular services. Baseline and outcome variables were compared by χ2analysis and logistic regression. Patients were followed up for 6 months. Results: Baseline variables were comparable among hospital categories except for significant differences in the distribution of antecedent angina and time to treatment. Significantly more coronary angioplasties and bypass surgeries were performed in patients first treated in hospitals with coronary revascularization services (4.1% and 4.2% vs 1.0% and 1.9%,P Conclusions: Patients with acute myocardial infarction treated with thrombolytic therapy have the same mortality in small centers without in-house coronary revascularization services as in larger centers with such services. (Arch Intern Med. 1994;154:2237-2242) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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