scholarly journals National Study on the Quality of Emergency Department Care in the Treatment of Acute Myocardial Infarction and Pneumonia

2007 ◽  
Vol 14 (10) ◽  
pp. 856-863 ◽  
Author(s):  
Julius Cuong Pham ◽  
Gabor D. Kelen ◽  
Peter J. Pronovost
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
National Study ◽  
Emergency Department Care

scholarly journals National Trends in Emergency Department Care Processes for Acute Myocardial Infarction in the United States, 2005 to 2015

2020 ◽  
Vol 9 (20) ◽  
Author(s):  
Akshay Pendyal ◽  
Craig Rothenberg ◽  
Jean E. Scofi ◽  
Harlan M. Krumholz ◽  
Basmah Safdar ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
Length Of Stay ◽  
Real World ◽  
The United States ◽  
Emergency Department Care ◽  
Care Processes ◽  
Ed Visits

Background Despite investments to improve quality of emergency care for patients with acute myocardial infarction (AMI), few studies have described national, real‐world trends in AMI care in the emergency department (ED). We aimed to describe trends in the epidemiology and quality of AMI care in US EDs over a recent 11‐year period, from 2005 to 2015. Methods and Results We conducted an observational study of ED visits for AMI using the National Hospital Ambulatory Medical Care Survey, a nationally representative probability sample of US EDs. AMI visits were classified as ST‐segment–elevation myocardial infarction (STEMI) and non‐STEMI. Outcomes included annual incidence of AMI, median ED length of stay, ED disposition type, and ED administration of evidence‐based medications. Annual ED visits for AMI decreased from 1 493 145 in 2005 to 581 924 in 2015. Estimated yearly incidence of ED visits for STEMI decreased from 1 402 768 to 315 813. The proportion of STEMI sent for immediate, same‐hospital catheterization increased from 12% to 37%. Among patients with STEMI sent directly for catheterization, median ED length of stay decreased from 62 to 37 minutes. ED administration of antithrombotic and nonaspirin antiplatelet agents rose for STEMI (23%–31% and 10%–27%, respectively). Conclusions National, real‐world trends in the epidemiology of AMI in the ED parallel those of clinical registries, with decreases in AMI incidence and STEMI proportion. ED care processes for STEMI mirror evolving guidelines that favor high‐intensity antiplatelet therapy, early invasive strategies, and regionalization of care.

Patient sex and quality of emergency department care for patients with acute myocardial infarction

2004 ◽  
Vol 44 (4) ◽  
pp. S133-S134
Author(s):  
D.R. Vinson ◽  
D.J. Magid ◽  
T.G. Padgett ◽  
T.M. Vlugt ◽  
A.S. Go ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
Emergency Department Care

Older Emergency Department Patients With Acute Myocardial Infarction Receive Lower Quality of Care Than Younger Patients

2005 ◽  
Vol 46 (1) ◽  
pp. 14-21 ◽  
Author(s):  
David J. Magid ◽  
Frederick A. Masoudi ◽  
David R. Vinson ◽  
Theresa M. van der Vlugt ◽  
Thomas G. Padgett ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
Quality Of Care ◽  
Younger Patients ◽  
Emergency Department Patients

Older patients with acute myocardial infarction receive lower quality emergency department care

2004 ◽  
Vol 44 (4) ◽  
pp. S45
Author(s):  
D.J. Magid ◽  
D.R. Vinson ◽  
T.M. Van der Blugt ◽  
T.G. Padgett ◽  
A.S. Go ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
Older Patients ◽  
Emergency Department Care

scholarly journals Evaluation of the Quality of the Management of Patients with Acute Myocardial Infarction in an Emergency Department in Japan

2008 ◽  
Vol 19 (3) ◽  
pp. 150-155
Author(s):  
Hiroko Suzuki ◽  
Mitsunagqa Iwata ◽  
Satoshi Nonoue ◽  
Yoshitomo Nishikawa ◽  
Taketo Watase ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department

The impact of sex, gender and healthcare system on quality of care among young adults with acute myocardial infarction

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
V Raparelli ◽  
L Pilote ◽  
H Behlouli ◽  
J Dziura ◽  
H Bueno ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Young Adults ◽  
Quality Of Care ◽  
Healthcare System ◽  
Quality Indicators ◽  
Funding Source ◽  
Post Discharge ◽  
Single Payer

Abstract Background The quality of care among young adults with acute myocardial infarction (AMI) may be related to biological sex, psycho-socio-cultural (gender) determinants or healthcare system-level factors. Purpose To examine whether sex, gender, and the type of healthcare system influence the quality of AMI care among young adults. Methods A total of 4,564 AMI young adults (<55 years) (59% women, 47 years, 66% US) were analyzed from the VIRGO and GENESIS-PRAXY studies consisting of single-payer (Canada, Spain) versus multipayer (US) systems. For each patient treated in each system we calculated a quality of care score (QCS) for pre-AMI (1-year pre admission), in-hospital, and post-AMI (1-year post discharge) phases of care (number of quality indicators received divided by the total number [range=0–100%], with higher scores indicating better quality). Ordinal logistic or linear regression models, and 2-way interactions between sex, gender and healthcare system were tested. Results Women in the multipayer system had the highest risk factor burden. Across the phases of care for AMI, 20% of quality indicators were missed in both sexes. High stress, earner status, and social support were associated with a higher QCS in the pre-AMI phase, whereas only employment and earner status were associated with QCS in all other phases. In the pre-AMI phase, women had higher QCS than men, mainly in the single-payer system (adjusted-OR=1.85, 95% CI 1.46,2.35 vs. 1.07, 95% CI 0.84,1.36, P-interaction= 0.002). Regardless of sex, only employment status had a greater effect in the multipayer system (adjusted-OR=0.59, 95% CI 0.44,0.78 vs 1.13, 95% CI 0.89,1.44, P-interaction <0.001). In the in-hospital phase, women had a lower QCS than men, especially in the multipayer system (adjusted-mean-difference: −2.48, 95% CI-3.87, −1.08). Employment was associated with a higher QCS (2.0, 95% CI 0.9–3.17, P-interaction >0.05). Finally, in the post-AMI phase, men and women had a lower QCS, predominantly in the multipayer system. However, primary earners had higher QCS regardless of system. Conclusion Sex, gender, and healthcare system affected the quality of care after AMI. Women had a poorer in-hospital than men and both women and men had suboptimal post-discharge care. Being unemployed lowered the quality of care, more so in the multipayer system. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): Canadian Institutes of Health and Research (CIHR)

scholarly journals Timeliness and Quality of Care for Elderly Patients With Acute Myocardial Infarction Under Health Maintenance Organization vs Fee-for-Service Insurance

1999 ◽  
Vol 159 (17) ◽  
pp. 2013 ◽  
Author(s):  
Stephen B. Soumerai ◽  
Thomas J. McLaughlin ◽  
Jerry H. Gurwitz ◽  
Steven Pearson ◽  
Cindy L. Christiansen ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Quality Of Care ◽  
Elderly Patients ◽  
Health Maintenance Organization ◽  
Fee For Service ◽  
Health Maintenance

Trends in quality of care for patients with acute myocardial infarction in the National Registry of Myocardial Infarction from 1990 to 2006

2008 ◽  
Vol 156 (6) ◽  
pp. 1045-1055 ◽  
Author(s):  
Eric D. Peterson ◽  
Bimal R. Shah ◽  
Lori Parsons ◽  
Charles V. Pollack ◽  
William J. French ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Quality Of Care ◽  
National Registry

scholarly journals Rapid and Safe Discharge From the Emergency Department: A Single Troponin to Exclude Acute Myocardial Infarction

2017 ◽  
Vol 26 ◽  
pp. S299
Author(s):  
L. Brichko ◽  
H. Schneider ◽  
J. Seah ◽  
D. Smit ◽  
J. Stevens ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department
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