Desarrollo de un modelo de ajuste por el riesgo para el infarto agudo de miocardio en España: comparación con el modelo de charlson y el modelo ICES. Aplicaciones para medir resultados asistenciales

Abstract

The model developed may be a useful tool for assessing the hospital care provided for myocardial infarction.

In-hospital Mortality Due to Acute Myocardial Infarction. Relevance of Type of Hospital and Care Provided. RECALCAR Study

“…35 Studies carried out by the Spanish Agencia de Evaluación de Tecnologías Sanitarias (Agency for the Evaluation of Heath Care Technologies) found a higher in-hospital mortality rate in AMI patients who did not undergo an interventional coronary procedure, 45 but they did not report differences in mortality related to the technological level of the centers. 16 The GYSCA study found that the treatment received by patients with non-ST elevation acute coronary syndrome admitted to hospitals with no catheterization laboratory differed more widely from that recommended by the guidelines; these investigators observed no significant differences in in-hospital mortality, but the incidence of readmission was significantly higher. 38 The MASCARA study found no relationship between the performance of primary percutaneous coronary intervention in patients with ST-elevation acute coronary syndrome and survival at 6 months.…”