論文

査読有り
2016年10月

In-hospital mortality and treatment patterns in acute myocardial infarction patients admitted during national cardiology meeting dates

INTERNATIONAL JOURNAL OF CARDIOLOGY
  • Seiko Mizuno
  • ,
  • Susumu Kunisawa
  • ,
  • Noriko Sasaki
  • ,
  • Kiyohide Fushimi
  • ,
  • Yuichi Imanaka

220
開始ページ
929
終了ページ
936
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.ijcard.2016.06.168
出版者・発行元
ELSEVIER IRELAND LTD

Background: Many hospitals experience a reduction in the number of available physicians on days when national scientific meetings are conducted. This study investigates the relationship between in-hospital mortality in acute myocardial infarction (AMI) patients and admission during national cardiology meeting dates.
Methods: Using an administrative database, we analyzed patients with AMI admitted to acute care hospitals in Japan from 2011 to 2013. There were 3 major national cardiology meetings held each year. A hierarchical logistic regression model was used to compare in-hospital mortality and treatment patterns between patients admitted on meeting dates and those admitted on identical days during the week before and after the meeting dates.
Results: We identified 6,332 eligible patients, with 1,985 patients admitted during 26 meeting days and 4,347 patients admitted during 52 non-meeting days. No significant differences between meeting and non-meeting dates were observed for in-hospital mortality (7.4% vs. 8.5%, respectively; p = 0.151, unadjusted odds ratio: 0.861, 95% confidence interval: 0.704-1.054) and the proportion of percutaneous coronary intervention (PCI) performed on the day of admission (75.9% vs. 76.2%, respectively; p = 0.824). We also found that some low-staffed hospitals did not treat AMI patients during meeting dates.
Conclusion: Little or no "national meeting effect" was observed on in-hospital mortality in AMI patients, and PCI rates were similar for both meeting and non-meeting dates. Our findings also indicated that during meeting dates, AMI patients may have been consolidated to high-performance and sufficiently staffed hospitals (C) 2016 Elsevier Ireland Ltd. All rights reserved.

Web of Science ® 被引用回数 : 6

リンク情報
DOI
https://doi.org/10.1016/j.ijcard.2016.06.168
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27420345
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000381582000175&DestApp=WOS_CPL
ID情報
  • DOI : 10.1016/j.ijcard.2016.06.168
  • ISSN : 0167-5273
  • eISSN : 1874-1754
  • PubMed ID : 27420345
  • Web of Science ID : WOS:000381582000175

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