Weekend Effect in the Management and Outcomes of Acute Myocardial Infarction in the United States, 2000-2016.
AMI, acute myocardial infarction
HCUP, Healthcare Cost and Utilization Project
NIS, National (Nationwide) Inpatient Sample
NSTEMI, non–ST-segment elevation myocardial infarction
OR, odds ratio
PCI, percutaneous coronary intervention
STEMI, ST-segment elevation myocardial infarction
Journal
Mayo Clinic proceedings. Innovations, quality & outcomes
ISSN: 2542-4548
Titre abrégé: Mayo Clin Proc Innov Qual Outcomes
Pays: Netherlands
ID NLM: 101728275
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
entrez:
15
8
2020
pubmed:
15
8
2020
medline:
15
8
2020
Statut:
epublish
Résumé
To assess the effects of weekend admission vs weekday admission on the management and outcomes of acute myocardial infarction (AMI). Adult ST-segment elevation myocardial infarction (STEMI) and non-STEMI (NSTEMI) hospital admissions were identified using the National (Nationwide) Inpatient Sample (2000-2016). Interhospital transfers were excluded. Timing of coronary angiography (CA) and percutaneous coronary intervention (PCI) relative to the day of admission was identified. Outcomes of interest included in-hospital mortality, receipt of early CA, timing of CA and PCI, resource utilization, and discharge disposition for weekend vs weekday admissions. Of the 9,041,819 AMI admissions, 2,406,876 (26.6%) occurred on weekends. Compared with 2000, in 2016 there was an increase in weekend STEMI (adjusted odds ratio [aOR], 1.12; 95% CI, 1.08-1.16; Despite small differences in CA and PCI, there were no differences in in-hospital mortality of AMI admissions on weekdays vs weekends in the United States in the contemporary era.
Identifiants
pubmed: 32793864
doi: 10.1016/j.mayocpiqo.2020.02.004
pii: S2542-4548(20)30045-X
pmc: PMC7411160
doi:
Types de publication
Journal Article
Langues
eng
Pagination
362-372Subventions
Organisme : NCATS NIH HHS
ID : TL1 TR001864
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR000135
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States
Informations de copyright
© 2020 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc.
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