Regional variation across the United States in management and outcomes of ST-elevation myocardial infarction: analysis of the 2003 to 2010 nationwide inpatient sample database.

ABSTRACT:

Background

Regional differences in the treatment and outcomes of patients with ST-elevation myocardial infarction (STEMI) within the United States remain poorly understood.

Hypothesis

Treatment choice and outcomes in patients with STEMI differ between regions within the United States.

Methods

We used the 2003 to 2010 Nationwide Inpatient Sample databases to identify all patients age ≥ 40 years hospitalized with STEMI. Patients were divided into 4 groups according to region: Northeast, Midwest, South, and West. Multivariable logistic regression was used to identify differences in treatment choice and outcomes (in-hospital mortality, acute stroke, and cardiogenic shock) among the 4 regions.

Results

Of 1,990,486 patients age ≥ 40 years with STEMI, 350,073 (17.6%)

SUBMITTER: Kolte D 

PROVIDER: S-EPMC6649537 | biostudies-literature | 2014 Apr

REPOSITORIES: biostudies-literature