FRANK MITCHELL, M.D.
To the editor: The paper "Effectiveness of Coronary Care Units in Small Community Hospitals" by Stross and associates (Ann Intern Med 85:709-713, 1976) indicates that the worst, or least effective, coronary care units, those with less than 60 patients with myocardial infarction admitted per year, have succeeded in cutting mortality rates in half. They therefore do seem effective, although some coronary care units seem more effective, by their measuring standards, than others.
My questions are several. First, is death in the hospital a good outcome measure for judging one coronary care unit against another? Do we have a Cancer Ward
MITCHELL F. Coronary Care Units. Ann Intern Med. ;86:653–654. doi: 10.7326/0003-4819-86-5-653_2
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Published: Ann Intern Med. 1977;86(5):653-654.
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