scholarly journals Association Between Medicare Expenditures and Adverse Events for Patients With Acute Myocardial Infarction, Heart Failure, or Pneumonia in the United States

2020 ◽  
Vol 3 (4) ◽  
pp. e202142 ◽  
Author(s):  
Yun Wang ◽  
Noel Eldridge ◽  
Mark L. Metersky ◽  
Nancy Sonnenfeld ◽  
David Rodrick ◽  
...  
Keyword(s):  
United States ◽  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
Adverse Events ◽  
The United States ◽  
Infarction Heart

scholarly journals BURDEN OF 30-DAY READMISSIONS IN ACUTE MYOCARDIAL INFARCTION AND HEART FAILURE IN THE UNITED STATES: A NATIONAL PERSPECTIVE

2017 ◽  
Vol 69 (11) ◽  
pp. 222
Author(s):  
Rohan Khera ◽  
Saket Girotra ◽  
Ambarish Pandey ◽  
Snigdha Jain ◽  
Colby Ayers ◽  
...  
Keyword(s):  
United States ◽  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
The United States ◽  
National Perspective

Abstract 14: Regional Cardiologist Density and 30-Day and 1-Year Mortality in Acute Myocardial Infarction and Heart Failure

2013 ◽  
Vol 6 (suppl_1) ◽  
Author(s):  
Vivek T Kulkarni ◽  
Joseph S Ross ◽  
Yongfei Wang ◽  
Brahmajee K Nallamothu ◽  
John A Spertus ◽  
...  
Keyword(s):  
United States ◽  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
The United States ◽  
Mortality Rates ◽  
Lower Mortality ◽  
Administrative Claims ◽  
Physician Density ◽  
Hospital Referral

Background: Although the distribution of cardiologists and mortality for cardiovascular conditions are both known to vary across regions of the United States, no study has examined the relationship between regional cardiologist density and patient mortality for acute myocardial infarction (AMI) or heart failure (HF). Methods: We used 2010 Medicare administrative claims data for AMI and HF. Pneumonia (PN) was used as a control condition. Primary outcomes were death at 30 days and 1 year from admission. For each Hospital Referral Region (HRR), we used the 2010 Bureau of Health Professionals’ Area Resource File to define cardiologist density (number of cardiologists divided by population aged 65+) and 4 HRR characteristics: primary care physician density, total physician density, unemployment rate, and percent white race. We used 2-level hierarchical logistic regression models to examine the association between cardiologist density by tertile and mortality for each condition adjusting for (Model A) patient age, sex, and condition-specific comorbidities, and (Model B) patient and HRR characteristics. Results: Median (interquartile range) cardiologist density per 100,000 in the low, middle, and high tertiles of HRRs was 26.3 (22.9-29.9), 38.6 (36.5-43.1), and 64.5 (54.4-85.3), respectively. There were 171,126 admissions for AMI, 352,853 for HF, and 343,053 for PN. The 30-day mortality rates were 15.3% (26,290), 11.7% (41,121), and 11.9% (40,906), and 1-year mortality rates were 32.1% (55,292), 40.4% (142,612), and 35.2% (120,666), respectively (Table). For 30-day mortality, while model A showed lower mortality with higher cardiologist density for all conditions (odds ratios (ORs): 0.84-0.95), model B showed no associations. For 1-year mortality, while model A showed lower mortality in the high cardiologist density tertile for AMI (OR=0.93) and HF (OR=0.91) and no associations for PN, model B showed no associations for AMI or HF and higher mortality with higher cardiologist density for PN (ORs=1.04-1.06). Conclusion: After adjusting for patient and HRR characteristics, regional cardiologist density was not associated with 30-day or 1-year mortality for AMI or HF, suggesting that the uneven regional distribution of cardiologists across the United States does not affect patient outcomes.

Trends in Hospitalizations for Heart Failure, Acute Myocardial Infarction, and Stroke in the United States from 2004-2018

2021 ◽  
Author(s):  
Husam M. Salah ◽  
Abdul Mannan Khan Minhas ◽  
Muhammad Shahzeb Khan ◽  
Safi U. Khan ◽  
Andrew P. Ambrosy ◽  
...  
Keyword(s):  
United States ◽  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
The United States

Improving Outcomes in Post–Acute Myocardial Infarction Heart Failure: Incorporation of Aldosterone Blockade into Combination Therapy to Optimize Neurohormonal Blockade

2006 ◽  
Vol 97 (10) ◽  
pp. 26-33 ◽  
Author(s):  
Bertram Pitt ◽  
Gregg C. Fonarow ◽  
Mihai Gheorghiade ◽  
Prakash C. Deedwania ◽  
Daniel A. Duprez
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
Combination Therapy ◽  
Infarction Heart ◽  
Aldosterone Blockade

Patient Characteristics and Outcomes of Type 2 Myocardial Infarction During Heart Failure Hospitalizations in the United States

2021 ◽  
Author(s):  
Salik Nazir ◽  
Abdul Mannan Khan Minhas ◽  
Ishan S. Kamat ◽  
Robert W. Ariss ◽  
George V. Moukarbel ◽  
...  
Keyword(s):  
United States ◽  
Myocardial Infarction ◽  
Heart Failure ◽  
Patient Characteristics ◽  
The United States

scholarly journals Association of Racial and Socioeconomic Disparities With Outcomes Among Patients Hospitalized With Acute Myocardial Infarction, Heart Failure, and Pneumonia

2018 ◽  
Vol 1 (5) ◽  
pp. e182044 ◽  
Author(s):  
Nicholas S. Downing ◽  
Changqin Wang ◽  
Aakriti Gupta ◽  
Yongfei Wang ◽  
Sudhakar V. Nuti ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
Socioeconomic Disparities ◽  
Infarction Heart
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