Care of acute myocardial infarction by noninvasive and invasive cardiologists: Procedure use, cost and outcome

被引：22

作者：

DiSalvo, TG

Paul, SD

LloydJones, D

Smith, AJC

VillarrealLevy, G

Bamezai, V

Hussain, SI

Eagle, KA

OGara, PT

机构：

[1] BRIGHAM & WOMENS HOSP,BOSTON,MA 02115

[2] UNIV MICHIGAN,MED CTR,ANN ARBOR,MI

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 1996年 / 27卷 / 02期

关键词：

D O I：

10.1016/0735-1097(95)00488-2

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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. Conclusions. Noninvasive and invasive cardiologists differ in their rate of utilization of coronary angioplasty in similar patients with acute myocardial infarction.

引用

收藏

页码：262 / 269

页数：8

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