Diagnosis and treatment of acute myocardial infarction in tertiary and secondary care hospitals in Estonia.
AIM: To compare validity of AMI diagnosis and treatment of AMI patients between tertiary and secondary care hospitals in Estonia. METHODS: Two tertiary and seven secondary care hospitals responsible for the treatment of most AMI patients in Estonia were included in the analysis. A random sample of 5...
| Publicado en: | Scandinavian Journal of Public Health Vol. 34; no. 3; pp. 327 - 332 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jun2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106314780&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106314780 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14034948 BDD jtl: Scandinavian Journal of Public Health issn: 14034948 maglogo: Y pubinfo: dt: Jun2006 vid: 34 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 106314780 106314780 2009208562 10.1080/14034940500242019 NLM16754592 106314780 ppf: 327 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Diagnosis and treatment of acute myocardial infarction in tertiary and secondary care hospitals in Estonia. aug: au: Ainla T Marandi T Teesalu R Baburin A Elmet M Liiver A Peeba M Voitk J affil: Department of Cardiology, University of Tartu, Puusepa 8, 51014 Tartu, Estonia; Tiia.Ainla@kliinikum.ee sug: subj: Acute Care Descriptive Statistics Disease Management Hospitals, Public Classification Myocardial Infarction Diagnosis Myocardial Infarction Therapy Adrenergic beta-Antagonists Therapeutic Use Angiotensin-Converting Enzyme Inhibitors Therapeutic Use Aspirin Therapeutic Use Chi Square Test Confidence Intervals Data Analysis Software Estonia Health Services Research Logistic Regression Mann-Whitney U Test Medical Records Myocardial Infarction Mortality Odds Ratio Practice Guidelines Professional Compliance Random Sample Record Review Reperfusion Utilization Statins Therapeutic Use T-Tests Treatment Outcomes Funding Source Human ab: AIM: To compare validity of AMI diagnosis and treatment of AMI patients between tertiary and secondary care hospitals in Estonia. METHODS: Two tertiary and seven secondary care hospitals responsible for the treatment of most AMI patients in Estonia were included in the analysis. A random sample of 520 patients admitted to these hospitals with AMI in 2001 was taken from the Estonian Health Insurance Fund database. Medical records were reviewed by trained experts using a standardized data collection form. RESULTS: Forty cases were excluded due to selection errors by the Health Insurance Fund. Of the remaining cases, a diagnosis of AMI was confirmed in 93.3% of cases in tertiary care hospitals and in 83.5% of cases in secondary care hospitals (p < 0.001). A total of 210 cases from tertiary and 213 cases from secondary care hospitals with confirmed AMI diagnoses were included in subsequent analysis. Utilization of beta-blockers, aspirin, and reperfusion therapy was similar in both types of hospitals. In tertiary care hospitals, ACE inhibitors and statins were more frequently used during hospital stay and recommended at discharge compared with secondary care hospitals. In-hospital mortality was similar in both types of hospitals both before and after adjustment. CONCLUSIONS: Tertiary care physicians adhered more strictly to the current definition and guidelines for the management of AMI than did secondary care physicians. However, there is still a need for further improvement in both hospital settings according to international guidelines. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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