Abstract | BACKGROUND: METHODS: The study sample consisted of 4184 patients hospitalized with acute myocardial infarction in a central New England metropolitan area during 6 annual periods (1995, 1997, 1999, 2001, 2003, 2005). RESULTS: The average age of the study sample was 71 years, and 54% were men. The average length of stay decreased by nearly one third over the 10-year study period, from 7.2 days in 1995 to 5.0 days in 2005 (P <.001). Younger patients (<65 years), men, and patients with an uncomplicated hospital stay had significantly shorter lengths of stay than respective comparison groups. Lengths of stay shorter than the median were not associated with significantly higher odds of hospital readmission at 7 or 30 days postdischarge, or with mortality in the year after discharge. In contrast, longer lengths of stay were associated with significantly higher odds of short-term mortality. These findings did not vary by year under study. CONCLUSIONS:
|
Authors | Jane S Saczynski, Darleen Lessard, Frederick A Spencer, Jerry H Gurwitz, Joel M Gore, Jorge Yarzebski, Robert J Goldberg |
Journal | The American journal of medicine
(Am J Med)
Vol. 123
Issue 11
Pg. 1007-15
(Nov 2010)
ISSN: 1555-7162 [Electronic] United States |
PMID | 21035590
(Publication Type: Journal Article, Research Support, N.I.H., Extramural)
|
Copyright | Copyright © 2010. Published by Elsevier Inc. |
Topics |
- Acute Disease
- Age Factors
- Aged
- Aged, 80 and over
- Confidence Intervals
- Female
- Humans
- Length of Stay
(statistics & numerical data)
- Logistic Models
- Male
- Middle Aged
- Myocardial Infarction
(mortality, therapy)
- New England
(epidemiology)
- Odds Ratio
- Patient Readmission
(statistics & numerical data)
- Sex Factors
|