Hospital resources and myocardial infarction case fatality. The IBERICA study

Eva E. Álvarez-León; Roberto Elosua; Alberto Zamora; Elena Aldasoro; José Galcerá; Hermelinda Vanaclocha; Antonio Segura; Miquel Fiol; Javier Turumbay; Gloria Pérez; José M. Arteagoitia; María J. Tormo; Adolfo Cabadés; Gema Vega; José Ignacio Ayestarán; Vega García; Iraida Hurtado-de-Saracho; Carmen Navarro; Oscar Zurriaga; Javier Muñiz; Joan Sala; Jaume Marrugat; Eva Alonso; Fernando Arós; Covadonga Audicana; Mikel Basterretxea; Eduardo Castillo; Santiago Esnaola; Miguel A. García Calabuig; Iraida Hurtado-de-Saracho; Miren Josebe Laresgoiti; Nerea Larrañaga; María José Lasa; Nerea Muniozguren; M. Cres Tobalina; Jesús M. San Vicente; Emilio Sanz; Lluís Cirera; José García; Carmen Navarro; José Tormo; Consuelo Martínez; Josefa Contreras; Fuesanta Aliaga; José M. Alonso; Manuel Belda; Rafael Bañón; José A. Castaño; Antonio Castilla; Juan Manuel Chiner; José M. Clemente; Amparo Egea; Francisco Felices; Manuel Fuentes; José Galcerá; Arcadio García; Pedro García; Gurmesindo González; Faustino Herrero; Pedro Jara; José Antonio Melgarejo; José Muñoz; Silvestre Nicolás; Juan Ortega; Miguel de Paco; Emilio Pérez; Pascual Rodríguez; Francisco Javier Rodríguez; Julio Ródenas; Francisco Ruiz-Martínez; José Antonio Ruiz; Fernando de San Eustaquio; Josefa Segura; José Antonio Serrano; Gines Torres; Luis Carlos Torres; Juan Vidal; Manuel Villegas; Amparo Albiñana; Carlos Antón; Joaquín Arguedas; Santiago Borrás; Susana Bosch

doi:10.1157/13062917

Hospital resources and myocardial infarction case fatality. The IBERICA study

Eva E. Álvarez-León, Roberto Elosua, Alberto Zamora, Elena Aldasoro, José Galcerá, Hermelinda Vanaclocha, Antonio Segura, Miquel Fiol, Javier Turumbay, Gloria Pérez, José M. Arteagoitia, María J. Tormo, Adolfo Cabadés, Gema Vega, José Ignacio Ayestarán, Vega García, Iraida Hurtado-de-Saracho, Carmen Navarro, Oscar Zurriaga, Javier MuñizJoan Sala, Jaume Marrugat, Eva Alonso, Fernando Arós, Covadonga Audicana, Mikel Basterretxea, Eduardo Castillo, Santiago Esnaola, Miguel A. García Calabuig, Iraida Hurtado-de-Saracho, Miren Josebe Laresgoiti, Nerea Larrañaga, María José Lasa, Nerea Muniozguren, M. Cres Tobalina, Jesús M. San Vicente, Emilio Sanz, Lluís Cirera, José García, Carmen Navarro, José Tormo, Consuelo Martínez, Josefa Contreras, Fuesanta Aliaga, José M. Alonso, Manuel Belda, Rafael Bañón, José A. Castaño, Antonio Castilla, Juan Manuel Chiner, José M. Clemente, Amparo Egea, Francisco Felices, Manuel Fuentes, José Galcerá, Arcadio García, Pedro García, Gurmesindo González, Faustino Herrero, Pedro Jara, José Antonio Melgarejo, José Muñoz, Silvestre Nicolás, Juan Ortega, Miguel de Paco, Emilio Pérez, Pascual Rodríguez, Francisco Javier Rodríguez, Julio Ródenas, Francisco Ruiz-Martínez, José Antonio Ruiz, Fernando de San Eustaquio, Josefa Segura, José Antonio Serrano, Gines Torres, Luis Carlos Torres, Juan Vidal, Manuel Villegas, Amparo Albiñana, Carlos Antón, Joaquín Arguedas, Santiago Borrás, Susana Bosch

Department of Paediatrics, Obstetrics and Gynaecology and Preventive Medicine and Public Health

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Abstract

Introduction and objectives. To determine the proportion of patients with myocardial infarction (MI) not admitted to a coronary care unit (CCU), the variables associated with admission into a CCU, and whether admission to a CCU, and the availability of coronary angiography in the same hospital, were associated with 28-day case fatality. Patients and method. Population-based registry of MI in patients 25 to 74 years of age, admitted during 1996-1998. Demographic and clinical characteristics were recorded, as well as management, clinical course and survival after 28 days. Hospitals were classified according to the availability of a CCU and catheterization laboratory (advanced hospital), CCU only (intermediate hospital) or neither (basic hospital). Admission to the CCU was also recorded. Results. In all, 9046 cases of MI were recorded; in 11.3% the patient was not admitted to a CCU. Age, smoking (0R=1.33; 95% CI, 1.08-1.64), non-Q MI (OR=0.62; 95% CI, 0.49-0.78) or undetermined location of MI (OR=0.34; 95% CI, 0.23-0.50), Killip 4 score on admission (OR=0.63; 95% CI, 0.40-1.00) and delay in arrival at the hospital >6 h were associated with CCU admission. Patients admitted to a CCU showed a lower case fatality in the first 24 h (4.2% vs 23.5%), which was independent of comorbidity, severity and treatment. The 24-hour survivors admitted to a basic hospital had higher case fatality (17.3% vs 7.8%) than other groups, which was related to differences in treatment. Conclusions. CCU admission is associated with a lower case fatality in the first 24 h. Admission to a basic hospital is associated with a higher 28-day case fatality even in patients who survive 24 h.

Original language	English
Pages (from-to)	514-523
Journal	Revista Espanola de Cardiologia
Volume	57
Issue number	6
DOIs	https://doi.org/10.1157/13062917
Publication status	Published - 1 Jan 2004

Keywords

Epidemiology
Fatality
Mortality
Myocardial infarction

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10.1157/13062917

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Álvarez-León, E. E., Elosua, R., Zamora, A., Aldasoro, E., Galcerá, J., Vanaclocha, H., Segura, A., Fiol, M., Turumbay, J., Pérez, G., Arteagoitia, J. M., Tormo, M. J., Cabadés, A., Vega, G., Ayestarán, J. I., García, V., Hurtado-de-Saracho, I., Navarro, C., Zurriaga, O., ... Bosch, S. (2004). Hospital resources and myocardial infarction case fatality. The IBERICA study. Revista Espanola de Cardiologia, 57(6), 514-523. https://doi.org/10.1157/13062917

@article{197065cfac5f408791935b16e0de4896,

title = "Hospital resources and myocardial infarction case fatality. The IBERICA study",

abstract = "Introduction and objectives. To determine the proportion of patients with myocardial infarction (MI) not admitted to a coronary care unit (CCU), the variables associated with admission into a CCU, and whether admission to a CCU, and the availability of coronary angiography in the same hospital, were associated with 28-day case fatality. Patients and method. Population-based registry of MI in patients 25 to 74 years of age, admitted during 1996-1998. Demographic and clinical characteristics were recorded, as well as management, clinical course and survival after 28 days. Hospitals were classified according to the availability of a CCU and catheterization laboratory (advanced hospital), CCU only (intermediate hospital) or neither (basic hospital). Admission to the CCU was also recorded. Results. In all, 9046 cases of MI were recorded; in 11.3% the patient was not admitted to a CCU. Age, smoking (0R=1.33; 95% CI, 1.08-1.64), non-Q MI (OR=0.62; 95% CI, 0.49-0.78) or undetermined location of MI (OR=0.34; 95% CI, 0.23-0.50), Killip 4 score on admission (OR=0.63; 95% CI, 0.40-1.00) and delay in arrival at the hospital >6 h were associated with CCU admission. Patients admitted to a CCU showed a lower case fatality in the first 24 h (4.2% vs 23.5%), which was independent of comorbidity, severity and treatment. The 24-hour survivors admitted to a basic hospital had higher case fatality (17.3% vs 7.8%) than other groups, which was related to differences in treatment. Conclusions. CCU admission is associated with a lower case fatality in the first 24 h. Admission to a basic hospital is associated with a higher 28-day case fatality even in patients who survive 24 h.",

keywords = "Epidemiology, Fatality, Mortality, Myocardial infarction",

author = "{\'A}lvarez-Le{\'o}n, {Eva E.} and Roberto Elosua and Alberto Zamora and Elena Aldasoro and Jos{\'e} Galcer{\'a} and Hermelinda Vanaclocha and Antonio Segura and Miquel Fiol and Javier Turumbay and Gloria P{\'e}rez and Arteagoitia, {Jos{\'e} M.} and Tormo, {Mar{\'i}a J.} and Adolfo Cabad{\'e}s and Gema Vega and Ayestar{\'a}n, {Jos{\'e} Ignacio} and Vega Garc{\'i}a and Iraida Hurtado-de-Saracho and Carmen Navarro and Oscar Zurriaga and Javier Mu{\~n}iz and Joan Sala and Jaume Marrugat and Eva Alonso and Fernando Ar{\'o}s and Covadonga Audicana and Mikel Basterretxea and Eduardo Castillo and Santiago Esnaola and {Garc{\'i}a Calabuig}, {Miguel A.} and Iraida Hurtado-de-Saracho and Laresgoiti, {Miren Josebe} and Nerea Larra{\~n}aga and Lasa, {Mar{\'i}a Jos{\'e}} and Nerea Muniozguren and Tobalina, {M. Cres} and {San Vicente}, {Jes{\'u}s M.} and Emilio Sanz and Llu{\'i}s Cirera and Jos{\'e} Garc{\'i}a and Carmen Navarro and Jos{\'e} Tormo and Consuelo Mart{\'i}nez and Josefa Contreras and Fuesanta Aliaga and Alonso, {Jos{\'e} M.} and Manuel Belda and Rafael Ba{\~n}{\'o}n and Casta{\~n}o, {Jos{\'e} A.} and Antonio Castilla and Chiner, {Juan Manuel} and Clemente, {Jos{\'e} M.} and Amparo Egea and Francisco Felices and Manuel Fuentes and Jos{\'e} Galcer{\'a} and Arcadio Garc{\'i}a and Pedro Garc{\'i}a and Gurmesindo Gonz{\'a}lez and Faustino Herrero and Pedro Jara and Melgarejo, {Jos{\'e} Antonio} and Jos{\'e} Mu{\~n}oz and Silvestre Nicol{\'a}s and Juan Ortega and {de Paco}, Miguel and Emilio P{\'e}rez and Pascual Rodr{\'i}guez and {Javier Rodr{\'i}guez}, Francisco and Julio R{\'o}denas and Francisco Ruiz-Mart{\'i}nez and Ruiz, {Jos{\'e} Antonio} and {de San Eustaquio}, Fernando and Josefa Segura and Serrano, {Jos{\'e} Antonio} and Gines Torres and Torres, {Luis Carlos} and Juan Vidal and Manuel Villegas and Amparo Albi{\~n}ana and Carlos Ant{\'o}n and Joaqu{\'i}n Arguedas and Santiago Borr{\'a}s and Susana Bosch",

year = "2004",

month = jan,

day = "1",

doi = "10.1157/13062917",

language = "English",

volume = "57",

pages = "514--523",

number = "6",

}

Álvarez-León, EE, Elosua, R, Zamora, A, Aldasoro, E, Galcerá, J, Vanaclocha, H, Segura, A, Fiol, M, Turumbay, J, Pérez, G, Arteagoitia, JM, Tormo, MJ, Cabadés, A, Vega, G, Ayestarán, JI, García, V, Hurtado-de-Saracho, I, Navarro, C, Zurriaga, O, Muñiz, J, Sala, J, Marrugat, J, Alonso, E, Arós, F, Audicana, C, Basterretxea, M, Castillo, E, Esnaola, S, García Calabuig, MA, Hurtado-de-Saracho, I, Laresgoiti, MJ, Larrañaga, N, Lasa, MJ, Muniozguren, N, Tobalina, MC, San Vicente, JM, Sanz, E, Cirera, L, García, J, Navarro, C, Tormo, J, Martínez, C, Contreras, J, Aliaga, F, Alonso, JM, Belda, M, Bañón, R, Castaño, JA, Castilla, A, Chiner, JM, Clemente, JM, Egea, A, Felices, F, Fuentes, M, Galcerá, J, García, A, García, P, González, G, Herrero, F, Jara, P, Melgarejo, JA, Muñoz, J, Nicolás, S, Ortega, J, de Paco, M, Pérez, E, Rodríguez, P, Javier Rodríguez, F, Ródenas, J, Ruiz-Martínez, F, Ruiz, JA, de San Eustaquio, F, Segura, J, Serrano, JA, Torres, G, Torres, LC, Vidal, J, Villegas, M, Albiñana, A, Antón, C, Arguedas, J, Borrás, S & Bosch, S 2004, 'Hospital resources and myocardial infarction case fatality. The IBERICA study', Revista Espanola de Cardiologia, vol. 57, no. 6, pp. 514-523. https://doi.org/10.1157/13062917

TY - JOUR

T1 - Hospital resources and myocardial infarction case fatality. The IBERICA study

AU - Álvarez-León, Eva E.

AU - Elosua, Roberto

AU - Zamora, Alberto

AU - Aldasoro, Elena

AU - Galcerá, José

AU - Vanaclocha, Hermelinda

AU - Segura, Antonio

AU - Fiol, Miquel

AU - Turumbay, Javier

AU - Pérez, Gloria

AU - Arteagoitia, José M.

AU - Tormo, María J.

AU - Cabadés, Adolfo

AU - Vega, Gema

AU - Ayestarán, José Ignacio

AU - García, Vega

AU - Hurtado-de-Saracho, Iraida

AU - Navarro, Carmen

AU - Zurriaga, Oscar

AU - Muñiz, Javier

AU - Sala, Joan

AU - Marrugat, Jaume

AU - Alonso, Eva

AU - Arós, Fernando

AU - Audicana, Covadonga

AU - Basterretxea, Mikel

AU - Castillo, Eduardo

AU - Esnaola, Santiago

AU - García Calabuig, Miguel A.

AU - Hurtado-de-Saracho, Iraida

AU - Laresgoiti, Miren Josebe

AU - Larrañaga, Nerea

AU - Lasa, María José

AU - Muniozguren, Nerea

AU - Tobalina, M. Cres

AU - San Vicente, Jesús M.

AU - Sanz, Emilio

AU - Cirera, Lluís

AU - García, José

AU - Navarro, Carmen

AU - Tormo, José

AU - Martínez, Consuelo

AU - Contreras, Josefa

AU - Aliaga, Fuesanta

AU - Alonso, José M.

AU - Belda, Manuel

AU - Bañón, Rafael

AU - Castaño, José A.

AU - Castilla, Antonio

AU - Chiner, Juan Manuel

AU - Clemente, José M.

AU - Egea, Amparo

AU - Felices, Francisco

AU - Fuentes, Manuel

AU - Galcerá, José

AU - García, Arcadio

AU - García, Pedro

AU - González, Gurmesindo

AU - Herrero, Faustino

AU - Jara, Pedro

AU - Melgarejo, José Antonio

AU - Muñoz, José

AU - Nicolás, Silvestre

AU - Ortega, Juan

AU - de Paco, Miguel

AU - Pérez, Emilio

AU - Rodríguez, Pascual

AU - Javier Rodríguez, Francisco

AU - Ródenas, Julio

AU - Ruiz-Martínez, Francisco

AU - Ruiz, José Antonio

AU - de San Eustaquio, Fernando

AU - Segura, Josefa

AU - Serrano, José Antonio

AU - Torres, Gines

AU - Torres, Luis Carlos

AU - Vidal, Juan

AU - Villegas, Manuel

AU - Albiñana, Amparo

AU - Antón, Carlos

AU - Arguedas, Joaquín

AU - Borrás, Santiago

AU - Bosch, Susana

PY - 2004/1/1

Y1 - 2004/1/1

N2 - Introduction and objectives. To determine the proportion of patients with myocardial infarction (MI) not admitted to a coronary care unit (CCU), the variables associated with admission into a CCU, and whether admission to a CCU, and the availability of coronary angiography in the same hospital, were associated with 28-day case fatality. Patients and method. Population-based registry of MI in patients 25 to 74 years of age, admitted during 1996-1998. Demographic and clinical characteristics were recorded, as well as management, clinical course and survival after 28 days. Hospitals were classified according to the availability of a CCU and catheterization laboratory (advanced hospital), CCU only (intermediate hospital) or neither (basic hospital). Admission to the CCU was also recorded. Results. In all, 9046 cases of MI were recorded; in 11.3% the patient was not admitted to a CCU. Age, smoking (0R=1.33; 95% CI, 1.08-1.64), non-Q MI (OR=0.62; 95% CI, 0.49-0.78) or undetermined location of MI (OR=0.34; 95% CI, 0.23-0.50), Killip 4 score on admission (OR=0.63; 95% CI, 0.40-1.00) and delay in arrival at the hospital >6 h were associated with CCU admission. Patients admitted to a CCU showed a lower case fatality in the first 24 h (4.2% vs 23.5%), which was independent of comorbidity, severity and treatment. The 24-hour survivors admitted to a basic hospital had higher case fatality (17.3% vs 7.8%) than other groups, which was related to differences in treatment. Conclusions. CCU admission is associated with a lower case fatality in the first 24 h. Admission to a basic hospital is associated with a higher 28-day case fatality even in patients who survive 24 h.

AB - Introduction and objectives. To determine the proportion of patients with myocardial infarction (MI) not admitted to a coronary care unit (CCU), the variables associated with admission into a CCU, and whether admission to a CCU, and the availability of coronary angiography in the same hospital, were associated with 28-day case fatality. Patients and method. Population-based registry of MI in patients 25 to 74 years of age, admitted during 1996-1998. Demographic and clinical characteristics were recorded, as well as management, clinical course and survival after 28 days. Hospitals were classified according to the availability of a CCU and catheterization laboratory (advanced hospital), CCU only (intermediate hospital) or neither (basic hospital). Admission to the CCU was also recorded. Results. In all, 9046 cases of MI were recorded; in 11.3% the patient was not admitted to a CCU. Age, smoking (0R=1.33; 95% CI, 1.08-1.64), non-Q MI (OR=0.62; 95% CI, 0.49-0.78) or undetermined location of MI (OR=0.34; 95% CI, 0.23-0.50), Killip 4 score on admission (OR=0.63; 95% CI, 0.40-1.00) and delay in arrival at the hospital >6 h were associated with CCU admission. Patients admitted to a CCU showed a lower case fatality in the first 24 h (4.2% vs 23.5%), which was independent of comorbidity, severity and treatment. The 24-hour survivors admitted to a basic hospital had higher case fatality (17.3% vs 7.8%) than other groups, which was related to differences in treatment. Conclusions. CCU admission is associated with a lower case fatality in the first 24 h. Admission to a basic hospital is associated with a higher 28-day case fatality even in patients who survive 24 h.

KW - Epidemiology

KW - Fatality

KW - Mortality

KW - Myocardial infarction

U2 - 10.1157/13062917

DO - 10.1157/13062917

M3 - Article

VL - 57

SP - 514

EP - 523

IS - 6

ER -

Hospital resources and myocardial infarction case fatality. The IBERICA study

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Keywords

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