Hospital variation in admission to intensive care units for patients with acute myocardial infarction.

ABSTRACT:

Background

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.

Methods

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. 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.

Results

Rates of ICU admission for AMI pati

SUBMITTER: Chen R 

PROVIDER: S-EPMC5459386 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature