A comparison of percutaneous transluminal coronary angioplasty in the Department of Veterans Affairs and in the private sector in the State of Washington.
Coronary angioplasty is performed>1,000 times daily in a variety of health care settings in the public and private sectors in the USA.
How oukomes for this procedure differ in the Department of Veterans Affairs and the private sector is unknown.
The purpose of this study was to compare outcomes of coronary angiaplasty performed in hospitals in the Deportment of Veterans Affairs and the State of Washington.
This study used administrative data from the Department of Veterans Affairs patient treatment file (n=8,326) and the State of Washington episode of illness file (n=6,666) and included men who underwent coronary angioplasty in 1993 and 1994.
Outcomes included (1) in-hospital mortality and mortality at 10 and 30 days after hospital admission, and (2) the use of coronary artery bypass surgery at similar intervals.
Patients with a principal diagnosis of acute myocardial infarction were analyzed separately.
Men in the Department of Veterans Affairs had more comorbid conditions than their counterparts in Washington State, and the length of hospital stay was longer in the former group.
After using logistic regression to adjust for patient differences, mortality rates for the 2 groups of patients with acute myocar ial infarction were similar, although bypass surgery was used more frequently in patients in Washington State. (...)
Mots-clés Pascal : Dilatation instrumentale, Homme, Sonde ballonnet, Artère coronaire, Etude comparative, Evolution, Ancien combattant, Secteur privé, Secteur public, Dérivation, Aortocoronaire, Greffe, Mortalité, Complication, Etats Unis, Amérique du Nord, Amérique, Pronostic, Washington, Traitement instrumental, Chirurgie
Mots-clés Pascal anglais : Instrumental dilatation, Human, Cuffed tube, Coronary artery, Comparative study, Evolution, Veteran, Private sector, Public sector, Bypass, Aortocoronary, Graft, Mortality, Complication, United States, North America, America, Prognosis, Washington, Instrumentation therapy, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0266751
Code Inist : 002B26E. Création : 11/09/1998.