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  1. Care of acute myocardial infarction by noninvasive and invasive cardiologists : procedure use, cost and outcome.

    Article - En anglais

    Objectives

    This study sought to determine how noninvasive and invasive cardiologists may differ in the hospital care of patients with acute myocardial infarction.

    Background

    Scant information exists regarding the effect of noninvasive and invasive cardiology subspecialization on invasive cardiac procedural use, cost and outcome in the care of patients with acute myocardial infarction.

    Methods

    This study analyzed a prospective cohort of 292 patients admitted to an urban tertiary care hospital from the emergency room under the care of noninvasive or invasive cardiologists.

    Clinical characteristics ; hospital course, including management, utilization of diagnostic coronary angiography and percutaneous transluminal coronary angioplasty ; direct hospital costs ; length of hospital stay ; and post-hospital discharge follow-up data were collected by a prospective data base instrument.

    Results

    Despite similar clinical characteristics, extent and severity of coronary artery disease and utilization of diagnostic coronary angiography in the two groups of patients, those under the care of an invasive cardiologist were significantly more likely to undergo coronary angioplasty than those under the care of a noninvasive cardiologist.

    The direct hospital costs and length of stay of the noninvasive and invasive group patients who underwent coronary angioplasty were similar, although overall the direct hospital costs and length of stay were higher for the invasive than ...

    Mots-clés Pascal : Infarctus, Myocarde, Aigu, Dilatation instrumentale, Angiographie, Coût, Economie santé, Etude comparative, Exploration, Traitement, Homme, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie, Traitement instrumental, Radiodiagnostic

    Mots-clés Pascal anglais : Infarct, Myocardium, Acute, Instrumental dilatation, Angiography, Costs, Health economy, Comparative study, Exploration, Treatment, Human, Cardiovascular disease, Coronary heart disease, Myocardial disease, Instrumentation therapy, Radiodiagnosis

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0119916

    Code Inist : 002B12A03. Création : 199608.