Variation in stated management of acute myocardial infarction in five countries

Variation in stated management of acute myocardial infarction in five countries

Author Heller, R. F. Google Scholar
O'Connell, R. L. Google Scholar
Lim, LLY Google Scholar
Atallah, A. Google Scholar
Lanas, F. Google Scholar
Joshi, P. Google Scholar
Tatsanavivat, P. Google Scholar
Institution Univ Newcastle
Universidade Federal de São Paulo (UNIFESP)
Univ La Frontera
Govt Med Coll
Khon Kaen Univ
Abstract We examined the variation in stated practice in the management of acute myocardial infarction (AMI) among doctors in Australia, Brazil, Chile, India and Thailand. Hospitals were identified as primary, secondary or tertiary by investigators from around their own region. All doctors within each hospital who would be expected to treat patients with AMI were asked to indicate which investigations and treatments they would offer to a patient with an AMI who develops angina on Day 3 after admission. the numbers of hospitals ranged from 5 to 26 per country, and doctor response rates varied from 70 to 100%. Within-country variation was large, and statistically significant variations were seen between countries in the use of most interventions. the large variation both between and within a range of countries across the economic spectrum suggests a widespread need for agreement about what constitutes appropriate management after AMI. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.
Keywords acute
myocardial
infarction
management
international
variation
Language English
Date 1999-01-01
Published in International Journal of Cardiology. Clare: Elsevier Sci Ireland Ltd, v. 68, n. 1, p. 63-67, 1999.
ISSN 0167-5273 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 63-67
Origin http://dx.doi.org/10.1016/S0167-5273(98)00343-X
Access rights Closed access
Type Article
Web of Science ID WOS:000078764700009
URI http://repositorio.unifesp.br/handle/11600/26007

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