Idioma:

The region makes the difference: disparities in management of acute myocardial infarction within Switzerland

Insam, Charlène ; Paccaud, Fred ; Marques-Vidal, Pedro

European journal of preventive cardiology, 2014-05, Vol.21 (5), p.541-548 [Periódico revisado por pares]

London, England: SAGE Publications

Texto completo disponível

Citações Citado por

Enviar para

Título:
The region makes the difference: disparities in management of acute myocardial infarction within Switzerland
Autor: Insam, Charlène ; Paccaud, Fred ; Marques-Vidal, Pedro
Assuntos: Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiology. Vascular system ; Chi-Square Distribution ; Coronary Artery Bypass - adverse effects ; Coronary Artery Bypass - mortality ; Coronary Artery Bypass - trends ; Coronary heart disease ; Cross-Sectional Studies ; Female ; Healthcare Disparities - trends ; Heart ; Heart-Assist Devices - trends ; Hospital Mortality ; Hospitalization - trends ; Humans ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Multivariate Analysis ; Myocardial Infarction - diagnosis ; Myocardial Infarction - mortality ; Myocardial Infarction - therapy ; Myocarditis. Cardiomyopathies ; Odds Ratio ; Outcome and Process Assessment (Health Care) - trends ; Percutaneous Coronary Intervention - adverse effects ; Percutaneous Coronary Intervention - instrumentation ; Percutaneous Coronary Intervention - mortality ; Percutaneous Coronary Intervention - trends ; Practice Patterns, Physicians' - trends ; Proportional Hazards Models ; Residence Characteristics ; Stents - trends ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Switzerland - epidemiology ; Treatment Outcome
É parte de: European journal of preventive cardiology, 2014-05, Vol.21 (5), p.541-548
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: Background In Switzerland, health policies are decided at the local level, but little is known regarding their impact on the management of acute myocardial infarction (AMI). In this study, we assessed geographical differences within Switzerland regarding management of AMI. Design Cross-sectional study. Methods Swiss hospital discharge database for period 2007–2008 (26,204 discharges from AMI). Seven Swiss regions (Leman, Mittelland, Northwest, Zurich, Central, Eastern, and Ticino) were analysed. Results Almost 53.7% of discharges from AMI were managed in a single hospital, ranging from 62.1% (Leman) to 31.6% (Ticino). The highest intensive care unit admission rate was in Leman (69.4%), the lowest (16.9%) in Ticino (Swiss average: 36.0%). Intracoronary revascularization rates were highest in Leman (51.1%) and lowest (30.9%) in Central Switzerland (average: 41.0%). Bare (non-drug-eluting) stent use was highest in Leman (61.4%) and lowest (16.9%) in Ticino (average: 42.1%), while drug-eluting stent use was highest (83.2%) in Ticino and lowest (38.6%) in Leman (average: 57.9%). Coronary artery bypass graft rates were highest (4.8%) in Ticino and lowest (0.5%) in Eastern Switzerland (average: 2.8%). Mechanical circulatory assistance rates were highest (4.2%) in Zurich and lowest (0.5%) in Ticino (average: 1.8%). The differences remained after adjusting for age, single or multiple hospital management, and gender. Conclusions In Switzerland, significant geographical differences in management and revascularization procedures for AMI were found.
Editor: London, England: SAGE Publications
Idioma: Inglês

Links

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

The region makes the difference: disparities in management of acute myocardial infarction within Switzerland

Insam, Charlène ; Paccaud, Fred ; Marques-Vidal, Pedro

London, England: SAGE Publications

Buscando em bases de dados remotas. Favor aguardar.