OBJECTIVE: To compare rural and nonrural hospitals for mortality for Medicare patients with myocardial infarction. DESIGN: A retrospective analysis of variance from Illinois for the year 1989. Claims were aggregated by hospital and the hospitals grouped into geographic areas that were completely rural (N = 32), partially rural with small cities (N = 82), exurban (N = 21), suburban (N = 43), and urban (N = 44). PATIENTS: 11,753 patients older than 65 years hospitalized for acute myocardial infarction. RESULTS: In rural hospitals, the mean in-hospital mortality rate was 24.3% compared to rates of 18.3-20.9% at hospitals in the other four regions (P = 0.10, power = 0.68). Rates for coronary angiography were 0% at rural hospitals compared to 8-20% at hospitals in the other four regions (P < 0 0.0005, power = 0.99). CONCLUSION: There is a trend toward higher in-hospital mortality for myocardial infarction at rural hospitals. Whether this is caused by their inability to perform coronary angiography during the index admission warrants further investigation.
OBJECTIVE: To compare rural and nonrural hospitals for mortality for Medicare patients with myocardial infarction. DESIGN: A retrospective analysis of variance from Illinois for the year 1989. Claims were aggregated by hospital and the hospitals grouped into geographic areas that were completely rural (N = 32), partially rural with small cities (N = 82), exurban (N = 21), suburban (N = 43), and urban (N = 44). PATIENTS: 11,753 patients older than 65 years hospitalized for acute myocardial infarction. RESULTS: In rural hospitals, the mean in-hospital mortality rate was 24.3% compared to rates of 18.3-20.9% at hospitals in the other four regions (P = 0.10, power = 0.68). Rates for coronary angiography were 0% at rural hospitals compared to 8-20% at hospitals in the other four regions (P < 0 0.0005, power = 0.99). CONCLUSION: There is a trend toward higher in-hospital mortality for myocardial infarction at rural hospitals. Whether this is caused by their inability to perform coronary angiography during the index admission warrants further investigation.
Authors: Leah M Goeres; Allison Gille; Jon P Furuno; Deniz Erten-Lyons; Daniel M Hartung; James F Calvert; Sharia M Ahmed; David S H Lee Journal: J Rural Health Date: 2015-10-30 Impact factor: 4.333
Authors: Jia-Rong Wu; Debra K Moser; Mary Kay Rayens; Marla J De Jong; Misook L Chung; Barbara Riegel; Terry A Lennie Journal: Heart Lung Date: 2010 Nov-Dec Impact factor: 2.210