Association of inpatient vs outpatient onset of ST-elevation myocardial infarction with treatment and clinical outcomes.

ABSTRACT:

Importance

Reperfusion times for ST-elevation myocardial infarction (STEMI) occurring in outpatients have improved significantly, but quality improvement efforts have largely ignored STEMI occurring in hospitalized patients (inpatient-onset STEMI).

Objective

To define the incidence and variables associated with treatment and outcomes of patients who develop STEMI during hospitalization for conditions other than acute coronary syndromes (ACS).

Design, setting, and participants

Retrospective observational analysis of STEMIs occurring between 2008 and 2011 as identified in the California State Inpatient Database.

Exposures

STEMIs were classified as inpatient onset or outpatient onset based on present-on-admission codes. Patients who had a STEMI after being hospita

SUBMITTER: Kaul P 

PROVIDER: S-EPMC4266685 | biostudies-literature | 2014 Nov

REPOSITORIES: biostudies-literature