Acute coronary syndrome patients admitted to a cardiology vs non-cardiology service: variations in treatment & outcome

Specialized cardiology services have contributed to reduced mortality in acute coronary syndromes (ACS). We sought to evaluate the outcomes of ACS patients admitted to non-cardiology services in Southern Alberta. Retrospective chart review performed on all troponin-positive patients in the Calgary...

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Veröffentlicht in:	BMC health services research 2017-05, Vol.17 (1), p.354-354, Article 354
Hauptverfasser:	O'Neill, Deirdre E, Southern, Danielle A, Norris, Colleen M, O'Neill, Blair J, Curran, Helen J, Graham, Michelle M
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute coronary syndrome Acute Coronary Syndrome - mortality Acute Coronary Syndrome - therapy Acute coronary syndromes Aged Alberta - epidemiology Cardiac catheterization Cardiac Catheterization - statistics & numerical data Cardiology Cardiology - statistics & numerical data Cardiology Service, Hospital - statistics & numerical data Cardiovascular disease Collaboration Comorbidity Coronary Disease - epidemiology Delivery of Health Care - statistics & numerical data Diagnostic tests Disease prevention Female Generalist Health services Heart attacks Heart failure Hospitalization Hospitalization - statistics & numerical data Hospitals Humans Hypertension Infectious diseases Internal medicine Intubation Male Medical prognosis Medicine Mortality Myocardial infarction Nephrology Non-cardiology Patients Population Registries Retrospective Studies Risk Assessment Risk Factors Secondary Prevention Specialist Stroke Treatment Outcome
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Zusammenfassung:	Specialized cardiology services have contributed to reduced mortality in acute coronary syndromes (ACS). We sought to evaluate the outcomes of ACS patients admitted to non-cardiology services in Southern Alberta. Retrospective chart review performed on all troponin-positive patients in the Calgary Health Region identified those diagnosed with ACS by their attending team. Patients admitted to non-cardiology and cardiology services were compared, using linked data from the Alberta Provincial Project for Outcomes Assessment in Coronary Heart Disease (APPROACH) registry and the Strategic Clinical Network for Cardiovascular Health and Stroke. From January 1, 2007 to December 31, 2008, 2105 ACS patients were identified, with 1636 (77.7%) admitted to cardiology and 469 (22.3%) to non-cardiology services. Patients admitted to non-cardiology services were older, had more comorbidities, and rarely received cardiology consultation (5.1%). Cardiac catheterization was underutilized (5.1% vs 86.4% in cardiology patients (p
ISSN:	1472-6963 1472-6963
DOI:	10.1186/s12913-017-2294-0