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- W4293116089 abstract "Abstract Objective Because acute myocardial infarction (AMI) is a major cause of death, China faces the challenge of improving its quality of care. This study provides context‐specific evidence of association between 30‐day mortality and hospital characteristics in China to extend the understanding of hospitalized AMI patients. Methods We conducted a retrospective cohort study of 67,619 hospitalized AMI patients at 372 tertiary and secondary hospitals in Sichuan, China, between January 1, 2018 and December 31, 2020. Using a hierarchical logistic regression model to control risk factors, we explored relationships among 30‐day mortality, hospital level, AMI volume, and percutaneous coronary intervention (PCI) timeliness. Locally weighted scatterplot smoothing was used to observe the trends of 30‐day mortality with increased AMI volume and PCI timeliness. Results After risk factor adjustment, the 30‐day mortality model demonstrated that a lower hospital level and smaller AMI volume were associated with higher 30‐day mortality (medium‐volume: OR = 1.511, 95% CI (1.195, 1.910); small‐volume: OR = 1.636, 95% CI (1.277, 2.096); other tertiary: OR = 1.190, 95% CI (1.037, 1.365); secondary: OR = 1.524, 95% CI (1.289, 1.800)). Similarly, 30‐day mortality was higher for patients at hospitals with a low PCI timeliness (low timeliness: OR = 1.318, 95% CI (1.079, 1.610)). Scatterplot smoothing showed hospital 30‐day mortality first reduced quickly and gradually stabilized with increased AMI volume and PCI timeliness. Conclusion Patients admitted to tertiary grade A hospitals, large‐volume hospitals, and high‐ or medium‐timeliness hospitals were more likely to survive at 30 days. Policymakers should focus on improving the outcomes at hospitals without these characteristics." @default.
- W4293116089 created "2022-08-26" @default.
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- W4293116089 date "2022-08-26" @default.
- W4293116089 modified "2023-10-18" @default.
- W4293116089 title "Association between hospital characteristics and 30‐day mortality of patients hospitalized for acute myocardial infarction in Sichuan, China" @default.
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- W4293116089 doi "https://doi.org/10.1111/jebm.12491" @default.
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