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- W2000586283 abstract "Background: East Lancashire Hospitals NHS Trust reorganized its services in October 2007 with acute admissions sent to one site which allowed the development of a 24/7 Consultant delivered cardiology service.Methods: A retrospective analysis of all patients admitted with an acute coronary syndrome between two periods: Group 1: October 2006 to September 2007 and Group 2: October 2007 and September 2008. We looked at the following end points—length of stay, in-hospital and 30 day all cause mortality.Results: 633 patients in group 1 and 748 patients in group 2. There was significant reduction in length of stay from a median (IQ range) 7 (5–11) days to 5 (3–9) days; P < 0.0001. The in-hospital mortality reduced from 15.8% (n = 100) to 7.6% (n = 56); P < 0.0001. The mortality at 30 days reduced from 15.2% (n = 96) to 8.3% (n = 62); P < 0.0001. These reductions remained significant after adjustment for demographic and risk factor variables.Conclusion: A 24/7 Consultant Cardiologist delivered cardiac care is associated with marked reductions in all cause mortality following admission with acute coronary syndromes. This improvement occurred with a significant reduction in hospital length of stay." @default.
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- W2000586283 date "2012-01-24" @default.
- W2000586283 modified "2023-09-26" @default.
- W2000586283 title "Development of a cardiologist delivered service leads to improved outcomes following admission with acute coronary syndromes in a large district general hospital" @default.
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- W2000586283 doi "https://doi.org/10.3109/17482941.2012.655290" @default.
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