Regional Variation in the Management and Outcomes of Acute Myocardial Infarction With Cardiogenic Shock in the United States.

ABSTRACT:

Background

There are few studies evaluating regional disparities in the care of acute myocardial infarction-cardiogenic shock (AMI-CS).

Methods and results

Using the National Inpatient Sample from 2000 to 2016, we identified adults with a primary diagnosis of AMI and concomitant CS admitted to the United States census regions of Northeast, Midwest, South, and West. Interhospital transfers were excluded. End points of interest included in-hospital mortality, use of coronary angiography, percutaneous coronary intervention, mechanical circulatory support, hospitalization costs, length of stay, and discharge disposition. Multivariable regression was used to adjust for potential confounding. Of the 402 825 AMI-CS admissions, 16.8%, 22.5%, 39.3%, and 21.4% were admitted to the Nor

SUBMITTER: Vallabhajosyula S 

PROVIDER: S-EPMC7027926 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature