Recent Research from Yale University Highlight Findings in Heart Attack (Hospital variation in admission to intensive care units for patients with acute myocardial infarction)
By a News Reporter-Staff News Editor at Obesity, Fitness & Wellness Week Investigators publish new report on Heart Disorders and Diseases. According to news reporting from New Haven, Connecticut, by NewsRx journalists, research stated, "The treatment for patients with acute myocardial infarction (AMI) was transformed by the introduction of intensive care units (ICUs), yet we know little about how contemporary hospitals use this resource-intensive setting and whether higher use is associated with better outcomes. We identified 114,136 adult hospitalizations for AMI from 307 hospitals in the 2009 to 2010 Premier database using codes from the International Classification of Diseases, Ninth Revision, Clinical Modification."
The news correspondents obtained a quote from the research from Yale University, "Hospitals were stratified into quartiles by rates of ICU admission for AMI patients. Across quartiles, we examined in-hospital risk-standardized mortality rates and usage rates of critical care therapies for these patients. Rates of ICU admission for AMI patients varied markedly among hospitals (median 48%, Q1-Q4 20%-71%, range 0%-98%), and there was no association with in-hospital risk-standardized mortality rates (6% all quartiles, P =.7). However, hospitals admitting more AMI patients to the ICU were more likely to use critical care therapies overall (mechanical ventilation [from Q1 with lowest rate of ICU use to Q4 with highest rate 13%-16%], vasopressors/inotropes [17%-21%], intraaortic balloon pumps [4%-7%], and pulmonary artery catheters [4%-5%]; P for trend <.05 in all comparisons). Rates of ICU admission for patients with AMI vary substantially across hospitals and were not associated with differences in mortality, but were associated with greater use of critical care therapies."
According to the news reporters, the research concluded: "These findings suggest uncertainty about the appropriate use of this resource-intensive setting and a need to optimize ICU triage for patients who will truly benefit."
For more information on this research see: Hospital variation in admission to intensive care units for patients with acute myocardial infarction. American Heart Journal, 2015;170(6):1161-1169. American Heart Journal can be contacted at: Mosby-Elsevier, 360 Park Avenue South, New York, NY 10010-1710, USA. (Elsevier - www.elsevier.com; American Heart Journal - www.journals.elsevier.com/american-heart-journal/)
Our news journalists report that additional information may be obtained by contacting R. Chen, Yale New Haven Med Center, Center Outcomes Res & Evaluat, New Haven, CT 06504, United States. Additional authors for this research include K.M. Strait, K. Dharmarajan, S.X. Li, I. Ranasinghe, J. Martin, R. Fazel, F.A. Masoudi, C.R. Cooke, B.K. Nallamothu and H.M. Krumholz (see also Heart Disorders and Diseases).
Keywords for this news article include: Hospital, New Haven, Connecticut, Heart Attack, Patient Care, United States, Heart Disease, Intensive Care, Vascular Diseases, Myocardial Ischemia, Critical Care Medicine, North and Central America, Acute Myocardial Infarction, Heart Disorders and Diseases
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