Family Medicine Department, Faculty of Medicine, Université de Sherbrooke, 3001, 12th Avenue North, Sherbrooke (QC), Canada, J1H 5N4. alain.vanasse@usherbrooke.ca
Regional disparities in medical care and outcomes with patients suffering from an acute coronary syndrome (ACS) have been reported and raise the need to a better understanding of links between treatment, care and outcomes. Little is known about the relationship and its spatial variability between invasive cardiac procedure (ICP), hospital death (HD), length of stay (LoS) and early hospital readmission (EHR). The objectives were to describe and compare the regional rates of ICP, HD, EHR, and the average LoS after an ACS in 2000 in the province of Quebec. We also assessed whether there was a relationship between ICP and HD, LoS, and EHR, and if the relationships varied spatially.
Using secondary data from a provincial hospital register, a population-based retrospective cohort of 24,544 patients hospitalized in Quebec (Canada) for an ACS in 2000 was built. ACS was defined as myocardial infarction (ICD-9: 410) or unstable angina (ICD-9: 411). ICP was defined as the presence of angiography, angioplasty or aortocoronary bypass (CCA: 480-483, 489), HD as all death cause at index hospitalization, LoS as the number of days between admission and discharge from the index hospitalization, and EHR as hospital readmission for a coronary heart disease
Notes
Cites: Can J Cardiol. 1999 Nov;15(11):1277-8210579743
Cites: J Gen Intern Med. 1999 Sep;14(9):555-810491245
Cites: JAMA. 2001 Apr 25;285(16):2101-811311099
Cites: Med Care. 2001 May;39(5):446-5811317093
Cites: JAMA. 2002 Mar 13;287(10):1269-7611886318
Cites: Ann Intern Med. 2002 Sep 17;137(6):487-9312230349
Cites: Can J Cardiol. 2002 Oct;18(10):1067-7612420042
Cites: Qual Saf Health Care. 2002 Sep;11(3):219-2312486984
Cites: CMAJ. 2003 Feb 4;168(3):261-412566329
Cites: Can J Cardiol. 2003 Jan;19(1):38-4512571693
Cites: Can J Cardiol. 2003 Jul;19(8):893-90112876609
Cites: Can J Cardiol. 2003 Sep;19(10):1123-3114532937
Cites: J Vasc Surg. 2004 Feb;39(2):395-914743142
Cites: Can J Cardiol. 2004 Jan;20(1):61-714968144
Cites: Can J Cardiol. 2004 Apr;20(5):491-50015100750
Cites: Milbank Mem Fund Q. 1966 Jul;44(3):Suppl:166-2065338568
Cites: Arch Intern Med. 1995 Feb 13;155(3):318-247832604
Cites: Ann Intern Med. 1995 Mar 15;122(6):415-217856989
Cites: Med Care. 1995 Jun;33(6):625-427760578
Cites: CMAJ. 1995 Sep 15;153(6):745-517664228
Cites: Circulation. 1996 Nov 1;94(9 Suppl):II93-88901726