Weekend versus weekday admission and mortality from myocardial infarction
Weekend versus weekday admission and mortality from myocardial infarction
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DOI：
10.1056/nejmoa063355
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发表时间：
2007-03-15
影响因子：
158.5
通讯作者：
Moreyra, Abel E.
中科院分区：
文献类型：
--
作者：
Kostis, William J.;Demissie, Kitaw;Moreyra, Abel E.
背景：急性心肌梗死的管理需要紧急的诊断和治疗程序，这可能不是统一提供整个week.METHODS：我们研究了死亡率之间的差异，在周末入院的患者和那些在工作日首次急性心肌梗死，使用心肌梗死数据采集系统。从1987年到2002年，新泽西的所有此类入院病例（231，164例）均被纳入，并以4年为间隔进行分组。结果：周末入院的患者与平日入院的患者在人口统计学特征、共存条件或梗死部位方面无显著差异。然而，周末入院的患者较少接受侵入性心脏操作，尤其是在住院的第一天和第二天（P
BACKGROUND:Management of acute myocardial infarction requires urgent diagnostic and therapeutic procedures, which may not be uniformly available throughout the week.METHODS:We examined differences in mortality between patients admitted on weekends and those admitted on weekdays for a first acute myocardial infarction, using the Myocardial Infarction Data Acquisition System. All such admissions in New Jersey from 1987 to 2002 (231,164) were included and grouped in 4-year intervals.RESULTS:There were no significant differences in demographic characteristics, coexisting conditions, or infarction site between patients admitted on weekends and those admitted on weekdays. However, patients admitted on weekends were less likely to undergo invasive cardiac procedures, especially on the first and second days of hospitalization (P