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Direct linkMuus, Kyle J.; Knudson, Alana D.; Klug, Marilyn G.; Wynne, Joshua – Journal of Rural Health, 2011
Context/Purpose: Most rural hospitals can provide medical care to acute myocardial infarction (AMI) patients, but a need for advanced cardiac care requires timely transfer to a tertiary hospital. There is little information on AMI in-hospital mortality predictors among rural transfer patients. Methods: Cross-sectional retrospective analyses on…
Descriptors: Medical Services, Hospitals, Patients, Health Insurance
Abrams, Thad E.; Vaughan-Sarrazin, Mary; Kaboli, Peter J. – Journal of Rural Health, 2010
Introduction: Annually, over 3,000 rural veterans are admitted to Veterans Health Administration (VA) hospitals for acute myocardial infarction (AMI), yet no studies of AMI have utilized the VA rural definition. Methods: This retrospective cohort study identified 15,870 patients admitted for AMI to all VA hospitals. Rural residence was identified…
Descriptors: Heart Disorders, Hospitals, Patients, Classification
Fan, Lin; Shah, Manish N.; Veazie, Peter J.; Friedman, Bruce – Journal of Rural Health, 2011
Context: Emergency Department (ED) use among the rural elderly may present a different pattern from the urban elderly, thus requiring different policy initiatives. However, ED use among the rural elderly has seldom been studied and is little understood. Purpose: To characterize factors associated with having any versus no ED use among the rural…
Descriptors: Health Services, Heart Disorders, Economically Disadvantaged, Physical Health
Baldwin, Laura-Mae; Chan, Leighton; Andrilla, C. Holly A.; Huff, Edwin D.; Hart, L. Gary – Journal of Rural Health, 2010
Background: In the mid-1990s, significant gaps existed in the quality of acute myocardial infarction (AMI) care between rural and urban hospitals. Since then, overall AMI care quality has improved. This study uses more recent data to determine whether rural-urban AMI quality gaps have persisted. Methods: Using inpatient records data for 34,776…
Descriptors: Hospitals, Rural Urban Differences, Geographic Location, Health Personnel
Dao, Tam K.; Chu, Danny; Springer, Justin; Hiatt, Emily; Nguyen, Quang – Journal of Rural Health, 2010
Purpose: To examine the relationships between depression, geographic status, and clinical outcomes following a coronary artery bypass grafting (CABG) surgery. Methods: Using the 2004 Nationwide Inpatient Sample database, we identified 63,061 discharge records of patients who underwent a primary CABG surgery (urban 57,247 and rural 5,814). We…
Descriptors: Hospitals, Outcomes of Treatment, Mortality Rate, Surgery
Baldwin, Laura-Mae; MacLehose, Richard F.; Hart, L. Gary; Beaver, Shelli K.; Every,Nathan; Chan,Leighton – Journal of Rural Health, 2004
Context: Acute myocardial infarction (AMI) is a common and important cause of admission to US rural hospitals, as transport of patients with AMI to urban settings can result in unacceptable delays in care. Purpose: To examine the quality of care for patients with AMI in rural hospitals with differing degrees of remoteness from urban centers.…
Descriptors: Urban Areas, Patients, Hospitals, Medical Services
