The Association of Transfer Rate From Hospitals Without Revascularization Capabilities and Mortality Risk for Older Non-ST-Segment Elevation Myocardial Infarction Patients.

ABSTRACT:

Background

Interhospital transfer invasive management patterns and implications for older non-ST-segment elevation myocardial infarction (NSTEMI) patients initially presenting to non-revascularization-capable hospitals have not been explored.

Hypothesis

Patients admitted to hospitals with a higher transfer proportion have lower risk of long-term mortality.

Methods

We linked CRUSADE Registry data on 5678 patients age ≥65 years from 65 United States non-revascularization-capable hospitals (2003-2006) with inpatient Medicare longitudinal claims. Hospitals were categorized according to hospital-level patient transfer-out rates, low (≤40%) vs high (>40%). The associations between transfer-out rates and 30-day, 6-month, and 3-year mortality risk were evaluated using Cox pro

SUBMITTER: Shen L 

PROVIDER: S-EPMC6490845 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature