ArticleBMJ open2020
Comparison between urban and rural mortality in patients with acute myocardial infarction: a nationwide longitudinal cohort study in South Korea.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- The Efficacy and Safety of Bisoprolol in the Treatment of Myocardial Infarction with Cardiac Insufficiency.Computational and mathematical methods in medicine · 2022Trial
- Long-term adherence to gastric cancer screening in South Korea: A 10-year follow-up study.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025Article
- Impact of diagnosis-to-treatment interval on mortality in patients with early-stage breast cancer: a retrospective nationwide Korean cohort.BMC women's health · 2025Article
- National trends in dyslipidemia prevalence, awareness, treatment, and control in South Korea from 2005 to 2022.Scientific reports · 2025Article
- Association between chemotherapy and the risk of developing breast cancer-related lymphedema: a nationwide retrospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Research on the construction strategy of China's rural emergency linkage system from the perspective of systems theory-based on the survey of six regions in China.Frontiers in public health · 2025Article
- Factors associated with regional differences in healthcare quality for patients with acute myocardial infarction in Japan.PloS one · 2025Article
- Mortality and Disparities of Acute Myocardial Infarction and Stroke in Korea, 2008-2019.Yonsei medical journal · 2024Article
- An empirical study on social network analysis for small residential communities in Gangwon State, South Korea.Scientific reports · 2024Article
- A Big Call to Action: Improving STEMI Management in Low- and Middle-Income Countries.JACC. Asia · 2023Article
- Urban-Rural Disparities in Case Fatality of Community-Acquired Sepsis in Germany: A Retrospective Cohort Study.International journal of environmental research and public health · 2023Article
- Emergency Interhospital Transfer of Patients With ST-Segment-Elevation Myocardial Infarction: Call 9-1-1-The American Heart Association Mission: Lifeline Program.Journal of the American Heart Association · 2022Article
- Association of Rural Hospital Admissions with Access, Treatment, and Mortality for Patients with Acute Myocardial Infarction in Shanxi, China.International journal of environmental research and public health · 2022Article
- Management quality indicators and in-hospital mortality among acute coronary syndrome patients admitted to tertiary hospitals in Ethiopia: prospective observational study.BMC emergency medicine · 2021Observational
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study investigated the risk associated with interhospital transfer of patients with acute myocardial infarction (AMI) and clinical outcomes according to the location of the patient' residence.
designA nationwide longitudinal cohort.
settingNational Health Insurance Service database of South Korea.
participantsThis study included 69 899 patients with AMI who visited an emergency centre from 2013 to 2015, as per the Korea National Health Insurance Service database. PRIMARY OUTCOME MEASURE: The clinical outcome of a patient with AMI was defined as mortality within 7 days, 30 days and 1 year.
resultsClinical outcomes were analysed and compared with respect to the location of the patient's residence and occurrence of interhospital transfer. We concluded that the HR of mortality within 7 days was 1.49 times higher (95% CI 1.18 to 1.87) in rural patients than in urban patients not subjected to interhospital transfer and 1.90 times higher (95% CI 1.13 to 3.19) in transferred rural patients than in non-transferred urban patients.
conclusionsTo reduce health inequality in rural areas, a healthcare policy considering regional characteristics, rather than a central government-led, catch-all approach to healthcare policy, must be formulated. Additionally, a local medical emergency delivery system, based on allocation of roles between different medical facilities in the region, must be established.
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