ArticleAmerican heart journal2015
Hospital variation in admission to intensive care units for patients with acute myocardial infarction.
Article in American heart journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 46 citations in OpenAlex.
- The impact of emergency quality improvement program on the prognosis of patients with acute ST-segment elevation myocardial infarction in Taiwan.Scientific reports · 2026Article
- Association of Initial Laxative Strategy With Clinical Outcomes in Critically Ill Patients With Acute Myocardial Infarction: A Retrospective Cohort Study.Cardiovascular therapeutics · 2026Article
- Editorial: From laboratory insights to clinical strategies in cardiogenic shock.Frontiers in cardiovascular medicine · 2026Article
- Association between CRP-TyG index and hepatic synthetic function in post-myocardial infarction ICU patients.Frontiers in medicine · 2025Article
- Factors associated with critical care needs in patients presenting with ST-elevation myocardial infarction: impact of early decompensation and culprit lesions.Frontiers in cardiovascular medicine · 2025Article
- Outcomes for Mechanically Ventilated Patients With Acute Myocardial Infarction Admitted to Medical vs Cardiac Intensive Care Units.JACC. Advances · 2024Article
- Injury outcomes across Canadian trauma systems: a historical cohort study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- Wearable Cardioverter Defibrillator Shortens the Lengths of Stay in Patients with Left Ventricular Dysfunction after Myocardial Infarction: A Single-Centre Real-World Experience.Journal of clinical medicine · 2023Article
- Identification of Low- versus High-Risk Acute Coronary Syndrome for a Selective ECG Monitoring Strategy.Journal of clinical medicine · 2023Article
- Stable Patients With STEMI Rarely Require Intensive-Care-Level Therapy After Primary PCI.CJC open · 2022Article
- Infarction code in a cardiac intermediate care unit during COVID-19 pandemicArchivos de cardiologia de Mexico · 2021Article
- Goldilocks, the Three Bears and Intensive Care Unit Utilization: Delivering Enough Intensive Care But Not Too Much. A Narrative Review.Pulmonary therapy · 2020Review
- Association Between Intensive Care Unit Usage and Long-Term Medication Adherence, Mortality, and Readmission Among Initially Stable Patients With Non-ST-Segment-Elevation Myocardial Infarction.Journal of the American Heart Association · 2020Observational
- Effects of Changes in ICU Bed Supply on ICU Utilization.Medical care · 2019Article
- Intensive care use and mortality among patients with ST elevation myocardial infarction: retrospective cohort study.BMJ (Clinical research ed.) · 2019Article
- Association of in-hospital resource utilization with post-acute spending in Medicare beneficiaries hospitalized for acute myocardial infarction: a cross-sectional study.BMC health services research · 2019Article
- Multicenter derivation and validation of an early warning score for acute respiratory failure or death in the hospital.Critical care (London, England) · 2018Observational
- Variation in and Hospital Characteristics Associated With the Value of Care for Medicare Beneficiaries With Acute Myocardial Infarction, Heart Failure, and Pneumonia.JAMA network open · 2018Article
- Intensive care utilization following major noncardiac surgical procedures in Ontario, Canada: a population-based study.Intensive care medicine · 2018Observational
- Risk Score to Predict Need for Intensive Care in Initially Hemodynamically Stable Adults With Non-ST-Segment-Elevation Myocardial Infarction.Journal of the American Heart Association · 2018Article
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Authors and funding
11 authors at 10 institutions in 2 countries.
Funding
Abstract
backgroundThe treatment for patients with acute myocardial infarction (AMI) was transformed by the introduction of intensive care units (ICUs), yet we know little about how contemporary hospitals use this resource-intensive setting and whether higher use is associated with better outcomes.
methodsWe identified 114,136 adult hospitalizations for AMI from 307 hospitals in the 2009 to 2010 Premier database using codes from the International Classification of Diseases, Ninth Revision, Clinical Modification. Hospitals were stratified into quartiles by rates of ICU admission for AMI patients. Across quartiles, we examined in-hospital risk-standardized mortality rates and usage rates of critical care therapies for these patients.
resultsRates of ICU admission for AMI patients varied markedly among hospitals (median 48%, Q1-Q4 20%-71%, range 0%-98%), and there was no association with in-hospital risk-standardized mortality rates (6% all quartiles, P = .7). However, hospitals admitting more AMI patients to the ICU were more likely to use critical care therapies overall (mechanical ventilation [from Q1 with lowest rate of ICU use to Q4 with highest rate 13%-16%], vasopressors/inotropes [17%-21%], intra-aortic balloon pumps [4%-7%], and pulmonary artery catheters [4%-5%]; P for trend < .05 in all comparisons).
conclusionsRates of ICU admission for patients with AMI vary substantially across hospitals and were not associated with differences in mortality, but were associated with greater use of critical care therapies. These findings suggest uncertainty about the appropriate use of this resource-intensive setting and a need to optimize ICU triage for patients who will truly benefit.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.