1. Weekend Effect in the Management and Outcomes of Acute Myocardial Infarction in the United States, 2000-2016
- Author
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Saraschandra Vallabhajosyula, MD, Sri Harsha Patlolla, MBBS, P. Elliott Miller, MD, Wisit Cheungpasitporn, MD, Allan S. Jaffe, MD, Bernard J. Gersh, MBChB, DPhil, David R. Holmes, Jr., MD, Malcolm R. Bell, MD, and Gregory W. Barsness, MD
- Subjects
Medicine (General) ,R5-920 - Abstract
Objective: To assess the effects of weekend admission vs weekday admission on the management and outcomes of acute myocardial infarction (AMI). Methods: Adult ST-segment elevation myocardial infarction (STEMI) and non-STEMI (NSTEMI) hospital admissions were identified using the National (Nationwide) Inpatient Sample (2000-2016). Interhospital transfers were excluded. Timing of coronary angiography (CA) and percutaneous coronary intervention (PCI) relative to the day of admission was identified. Outcomes of interest included in-hospital mortality, receipt of early CA, timing of CA and PCI, resource utilization, and discharge disposition for weekend vs weekday admissions. Results: Of the 9,041,819 AMI admissions, 2,406,876 (26.6%) occurred on weekends. Compared with 2000, in 2016 there was an increase in weekend STEMI (adjusted odds ratio [aOR], 1.12; 95% CI, 1.08-1.16; P
- Published
- 2020
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