2006
DOI: 10.1253/circj.70.679
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Physician and Hospital Characteristics Related to Length of Stay for Acute Myocardial Infarction Patients A 3-Year Population-Based Analysis

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Cited by 7 publications
(3 citation statements)
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“…Previous literature has shown that diabetes mellitus, hypertension, hyperlipidemia, male sex, tobacco use, family history of atherosclerotic arterial disease (29), low socioeconomic status, stress, or negative emotions are associated with increased risk of AMI and worse outcomes after myocardial infarction (14,17,30,31), and, as summarized earlier, most of these risk factors are recognized to occur more commonly in people with severe mental disorders. Drawing on information that was available in the database, the following covariates were therefore chosen: demographic characteristics (age, sex, income, and urbanization of residence), history of cardiovascular risk factors before the occurrence of AMI (diagnoses of hypertension, diabetes, hyperlipidemia, and alcohol use disorders), history of cardiac diseases before the occurrence of AMI (heart failure, cardiogenic shock, respiratory failure, acute pulmonary edema, or any conduction disorders), and hospital properties (hospital level, geographical location, urbanization level, and teaching status, classified using methods and definitions from previous research (31) and assumed to have potential confounding effects).…”
Section: Covariatesmentioning
confidence: 91%
“…Previous literature has shown that diabetes mellitus, hypertension, hyperlipidemia, male sex, tobacco use, family history of atherosclerotic arterial disease (29), low socioeconomic status, stress, or negative emotions are associated with increased risk of AMI and worse outcomes after myocardial infarction (14,17,30,31), and, as summarized earlier, most of these risk factors are recognized to occur more commonly in people with severe mental disorders. Drawing on information that was available in the database, the following covariates were therefore chosen: demographic characteristics (age, sex, income, and urbanization of residence), history of cardiovascular risk factors before the occurrence of AMI (diagnoses of hypertension, diabetes, hyperlipidemia, and alcohol use disorders), history of cardiac diseases before the occurrence of AMI (heart failure, cardiogenic shock, respiratory failure, acute pulmonary edema, or any conduction disorders), and hospital properties (hospital level, geographical location, urbanization level, and teaching status, classified using methods and definitions from previous research (31) and assumed to have potential confounding effects).…”
Section: Covariatesmentioning
confidence: 91%
“…Special economic problems related to medical care still exist, and the incidence of disease and the efficacy of treatment remain unclear, especially for elderly patients . A total evaluation of medical care services within the overall economic system should consider the following: the importance of healthcare expenditure in relation to the national gross domestic product, the ratio of individual health case expenditure to the final healthcare expenditure in the general population and the actual national employment rate in the medical care services . However, strong experimental, multidisciplinary care and non‐randomized observational trials are required to confirm the benefits of the MDGC.…”
Section: Discussionmentioning
confidence: 99%
“…28,29) Several previous studies showed that case load volume was independently associated with shorter hospital stay. 26,30,31) Use of clinical pathways to improve the quality of care and reduce LOS in high-volume hospitals, and cardiac rehabilitation programs over a longer term because of less confidence with early mobilization in low-volume hospitals may explain the difference in LOS among hospital groups, but this is not known for certain. More research into patients undergoing a long LOS is necessary to account for this finding.…”
Section: Duration Of Reperfusion Therapymentioning
confidence: 99%