The region makes the difference: disparities in management of acute myocardial infarction within Switzerland.

Details

Serval ID
serval:BIB_50C586F4B077
Type
Article: article from journal or magazin.
Collection
Publications
Title
The region makes the difference: disparities in management of acute myocardial infarction within Switzerland.
Journal
European Journal of Preventive Cardiology
Author(s)
Insam C., Paccaud F., Marques-Vidal P.
ISSN
2047-4881 (Electronic)
ISSN-L
2047-4873
Publication state
Published
Issued date
2014
Volume
21
Number
5
Pages
541-548
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
BACKGROUND: In Switzerland, health policies are decided at the local level, but little is known regarding their impact on the management of acute myocardial infarction (AMI). In this study, we assessed geographical differences within Switzerland regarding management of AMI.
DESIGN: Cross-sectional study.
METHODS: Swiss hospital discharge database for period 2007-2008 (26,204 discharges from AMI). Seven Swiss regions (Leman, Mittelland, Northwest, Zurich, Central, Eastern, and Ticino) were analysed.
RESULTS: Almost 53.7% of discharges from AMI were managed in a single hospital, ranging from 62.1% (Leman) to 31.6% (Ticino). The highest intensive care unit admission rate was in Leman (69.4%), the lowest (16.9%) in Ticino (Swiss average: 36.0%). Intracoronary revascularization rates were highest in Leman (51.1%) and lowest (30.9%) in Central Switzerland (average: 41.0%). Bare (non-drug-eluting) stent use was highest in Leman (61.4%) and lowest (16.9%) in Ticino (average: 42.1%), while drug-eluting stent use was highest (83.2%) in Ticino and lowest (38.6%) in Leman (average: 57.9%). Coronary artery bypass graft rates were highest (4.8%) in Ticino and lowest (0.5%) in Eastern Switzerland (average: 2.8%). Mechanical circulatory assistance rates were highest (4.2%) in Zurich and lowest (0.5%) in Ticino (average: 1.8%). The differences remained after adjusting for age, single or multiple hospital management, and gender.
CONCLUSIONS: In Switzerland, significant geographical differences in management and revascularization procedures for AMI were found.
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Web of science
Create date
26/02/2013 20:36
Last modification date
20/08/2019 15:06
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