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Hospitals with percutaneous coronary intervention capability have greater adherence to established myocardial

David Schopfer1, Vikas Patel, Jessica Chiang

  • 1University of Illinois at Chicago College of Medicine, Section of Cardiology, 840 South Wood St., M/C 715, Chicago, IL 60612, USA. schopfermd@gmail.com

Hospital Practice (1995)
|May 18, 2010
PubMed

Insights

Hospitals providing percutaneous coronary intervention (PCI) show higher adherence to acute myocardial infarction (AMI) care guidelines than those using only fibrinolytic therapy. This finding highlights the importance of PCI capability in improving patient care standards for AMI.

Area of Science:

  • Cardiology
  • Health Services Research

Background:

  • The American College of Cardiology/American Heart Association provide guidelines for acute myocardial infarction (AMI) care to reduce morbidity and mortality.
  • Limited data exist comparing adherence to care standards between centers offering fibrinolytic therapy alone versus percutaneous coronary intervention (PCI).

Purpose of the Study:

  • To compare adherence to AMI process-of-care measures between hospitals with and without PCI capability.

Main Methods:

  • Analysis of compliance with AMI performance measures using 2007 data from the US Department of Health and Human Services Hospital Compare website.
  • Measures included aspirin, beta-blocker, and ACE inhibitor/ARB administration, and smoking cessation counseling.

Main Results:

  • Hospitals reporting PCI capability demonstrated significantly higher adherence (P < 0.0001) to all reported AMI process-of-care measures compared to hospitals reporting only fibrinolytic use.
  • Specific measures analyzed included aspirin, beta-blocker, and ACE inhibitor/ARB administration, and smoking cessation counseling.

Conclusions:

  • Hospitals with PCI capability exhibit superior adherence to established guidelines for acute myocardial infarction care.
  • This suggests that PCI availability may be linked to better implementation of recommended care processes for AMI patients.

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