التفاصيل البيبلوغرافية
| العنوان: |
Quality of Care for Acute Myocardial Infarction in Elderly Patients with Alcohol-Related Diagnoses. |
| المؤلفون: |
Fiellin, David A., O'Connor, Patrick G., Yongfei Wang, Radford, Martha J., Krumholz, Harlan M. |
| المصدر: |
Alcoholism: Clinical & Experimental Research; Jan2006, Vol. 30 Issue 1, p70-75, 6p, 4 Charts |
| مصطلحات موضوعية: |
MYOCARDIAL infarction, ALCOHOL, MEDICAL care for older people, PATIENTS, DIAGNOSIS, COHORT analysis, MYOCARDIAL infarction diagnosis, HOSPITAL care, MEDICAL care, MEDICARE beneficiaries, HOSPITAL records |
| مصطلحات جغرافية: |
UNITED States |
| مستخلص: |
Background: Elderly adults with alcohol-related diagnoses represent a vulnerable population that may receive lower quality of treatment during hospitalization for acute myocardial infarction. We sought to determine whether elderly patients with alcohol-related diagnoses are less likely to receive standard indicators of quality care for acute myocardial infarction. Methods: We conducted a retrospective cohort analysis using administrative and medical record data from the Cooperative Cardiovascular Project. Subjects were Medicare beneficiaries with a confirmed principal discharge diagnosis of acute myocardial infarction from all acute care hospitals in the United States over an 8-month period. Our primary outcome was the receipt of 7 guideline-recommended care measures among all eligible patients and patients who were ideal candidates for a given measure. Results: In all, 1,284 (1%) of the 155,026 eligible patients met criteria for an alcohol-related diagnosis. Among the alcohol-related diagnoses, 1,077/1,284 (84%) were for the diagnoses of alcohol dependence or alcohol abuse. Patients with alcohol-related diagnoses were less likely than those without alcohol-related diagnoses to receive β-blockers at the time of discharge (55% vs. 60%, p=0.02). We found no other significant differences in performance of the quality indicators after stratifying by indication and adjustment for baseline characteristics. Conclusions: Alcohol-related diagnoses are not a barrier to receiving most quality of care measures in elderly patients hospitalized for acute myocardial infarction. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
