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

Détails

ID Serval
serval:BIB_50C586F4B077
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
The region makes the difference: disparities in management of acute myocardial infarction within Switzerland.
Périodique
European Journal of Preventive Cardiology
Auteur(s)
Insam C., Paccaud F., Marques-Vidal P.
ISSN
2047-4881 (Electronic)
ISSN-L
2047-4873
Statut éditorial
Publié
Date de publication
2014
Volume
21
Numéro
5
Pages
541-548
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
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.
Pubmed
Web of science
Création de la notice
26/02/2013 20:36
Dernière modification de la notice
03/03/2018 17:09
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