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

页码：262 / 269

页数：8

共 33 条

[1] KNOWLEDGE AND PRACTICES OF GENERALIST AND SPECIALIST PHYSICIANS REGARDING DRUG-THERAPY FOR ACUTE MYOCARDIAL-INFARCTION
AYANIAN, JZ
HAUPTMAN, PJ
GUADAGNOLI, E
ANTMAN, EM
PASHOS, CL
MCNEIL, BJ
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (17) : 1136 - 1142
[2] THE APPROPRIATENESS OF PERFORMING CORONARY ANGIOGRAPHY AND CORONARY-ARTERY REVASCULARIZATION IN A SWEDISH POPULATION
BENGTSON, A
HERLITZ, J
KARLSSON, T
BRANDRUPWOGNSEN, G
HJALMARSON, A
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 271 (16): : 1260 - 1265
[3] HIGH-TECHNOLOGY CARDIAC PROCEDURES - THE IMPACT OF SERVICE AVAILABILITY ON SERVICE USE IN NEW-YORK-STATE
BLUSTEIN, J
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 270 (03): : 344 - 349
[4] CURRENT CONCEPTS - CARDIOGENIC-SHOCK
CALIFF, RM
BENGTSON, JR
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 1994, 330 (24) : 1724 - 1730
[5] VARIATION IN-HOSPITAL LENGTH OF STAY FOR ACUTE MYOCARDIAL-INFARCTION IN ONTARIO, CANADA
CHEN, E
NAYLOR, CD
[J]. MEDICAL CARE, 1994, 32 (05) : 420 - 435
[6] THE TREATMENT OF PATIENTS WITH ASTHMA BY SPECIALISTS AND GENERALISTS
ENGEL, W
FREUND, DA
STEIN, JS
FLETCHER, RH
[J]. MEDICAL CARE, 1989, 27 (03) : 306 - 314
[7] SPECIALTY DIFFERENCES IN THE TREATMENT OF ASTHMA
FREUND, DA
STEIN, J
HURLEY, R
ENGEL, W
WOOMERT, A
LEE, B
[J]. JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1989, 84 (03) : 401 - 406
[8] IMMEDIATE ANGIOPLASTY COMPARED WITH THE ADMINISTRATION OF A THROMBOLYTIC AGENT FOLLOWED BY CONSERVATIVE TREATMENT FOR MYOCARDIAL-INFARCTION
GIBBONS, RJ
HOLMES, DR
REEDER, GS
BAILEY, KR
HOPFENSPIRGER, MR
GERSH, BJ
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 1993, 328 (10) : 685 - 691
[9] CORONARY ANGIOPLASTY VERSUS LEFT INTERNAL MAMMARY ARTERY GRAFTING FOR ISOLATED PROXIMAL LEFT ANTERIOR DESCENDING ARTERY-STENOSIS
GOY, JJ
EECKHOUT, E
BURNAND, B
VOGT, P
STAUFFER, JC
HURNI, M
STUMPE, F
RUCHAT, P
SADEGHI, H
KAPPENBERGER, L
[J]. LANCET, 1994, 343 (8911) : 1449 - 1453
[10] VARIATIONS IN RESOURCE UTILIZATION AMONG MEDICAL SPECIALTIES AND SYSTEMS OF CARE - RESULTS FROM THE MEDICAL OUTCOMES STUDY
GREENFIELD, S
NELSON, EC
ZUBKOFF, M
MANNING, W
ROGERS, W
KRAVITZ, RL
KELLER, A
TARLOV, AR
WARE, JE
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 267 (12): : 1624 - 1630

← 1 2 3 4 →