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Impact of transfer for angioplasty and distance on AMI in-hospital mortality. | LitMetric

Impact of transfer for angioplasty and distance on AMI in-hospital mortality.

Acute Card Care

Dr Foster Unit at Imperial College, Department of Primary Care and Public Health, School of Public Health, Imperial College London, UK.

Published: March 2012

Background: The aim of the study was to evaluate the impact of transfer status and distance on in-hospital mortality for acute myocardial infarction (AMI) patients undergoing angioplasty on the same or next day of hospital admission.

Methods: Retrospective analysis of English hospital administrative data using logistic regression modelling.

Results: After risk adjustment for the patient baseline characteristics, transferred patients had a higher in-hospital mortality rate than those admitted directly to hospital for angioplasty performed on the same or next day: OR=1.25 (95% confidence interval: 1.02-1.52), P=0.029. There was no statistically significant increased risk of in-hospital mortality with increasing distance between home and angioplasty centre (OR=0.98 (0.84-1.16), P=0.842 for 6-15 km and 1.03 (0.87-1.22), P=0.768 for >15 km when compared with <6 km) or with increasing inter-hospital transfer distance for angioplasty (OR=0.84 (0.55-1.29), P=0.435 for 16-34 km and 0.88 (0.58-1.35), for >34 km when compared with <16 km).

Conclusions: Transfer status is associated with in-hospital mortality rate for AMI patients undergoing angioplasty on the same or next day of hospital admission. No relation between in-hospital mortality and the distance from home to angioplasty centre or inter-hospital transfer distance for angioplasty was found in these patients.

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Source
http://dx.doi.org/10.3109/17482941.2012.655291DOI Listing

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