In-Hospital Mortality in Acute Myocardial Infarction According to Population Density and Primary Angioplasty Procedures Volume.
Aged
Aged, 80 and over
Databases, Factual
Female
Hospital Mortality
Hospitals, High-Volume
Hospitals, Low-Volume
Humans
Japan
Male
Middle Aged
Myocardial Infarction
/ diagnosis
Percutaneous Coronary Intervention
/ adverse effects
Population Density
Registries
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Transportation of Patients
Treatment Outcome
Acute myocardial infarction
In-hospital mortality
Population density
Journal
Circulation journal : official journal of the Japanese Circulation Society
ISSN: 1347-4820
Titre abrégé: Circ J
Pays: Japan
ID NLM: 101137683
Informations de publication
Date de publication:
25 06 2020
25 06 2020
Historique:
pubmed:
29
5
2020
medline:
15
12
2020
entrez:
29
5
2020
Statut:
ppublish
Résumé
Low population density may be associated with high mortality in acute myocardial infarction (AMI) patients. The purpose of this study was to investigate the effect of population density and hospital primary percutaneous coronary intervention (PCI) volume on AMI in-hospital mortality in Japan.Methods and Results:This is a retrospective study of 64,414 AMI patients transported to hospital by ambulances. The main outcome measure was in-hospital mortality. The median population density was 1,147 (interquartile range, 342-5,210) persons/km Increased in-hospital mortality related to low population density was observed only in AMI patients who were transported to the low primary PCI volume hospitals, but not in those who were transported to high-volume hospitals.
Sections du résumé
BACKGROUND
Low population density may be associated with high mortality in acute myocardial infarction (AMI) patients. The purpose of this study was to investigate the effect of population density and hospital primary percutaneous coronary intervention (PCI) volume on AMI in-hospital mortality in Japan.Methods and Results:This is a retrospective study of 64,414 AMI patients transported to hospital by ambulances. The main outcome measure was in-hospital mortality. The median population density was 1,147 (interquartile range, 342-5,210) persons/km
CONCLUSIONS
Increased in-hospital mortality related to low population density was observed only in AMI patients who were transported to the low primary PCI volume hospitals, but not in those who were transported to high-volume hospitals.
Identifiants
pubmed: 32461512
doi: 10.1253/circj.CJ-19-0869
doi:
Types de publication
Comparative Study
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1140-1146Commentaires et corrections
Type : CommentIn