Trip J. Meine, MD; Manesh R. Patel, MD; Venita DePuy, MStat; Lesley H. Curtis, PhD; Sunil V. Rao, MD; Bernard J. Gersh, MB, ChB, DPhil; Kevin A. Schulman, MD; James G. Jollis, MD
Note: This study was presented in poster form at the American College of Cardiology 53rd Annual Scientific Session, New Orleans, Louisiana, March 2004.
Disclaimer: The contents of this article do not necessarily reflect the views of the Department of Health and Human Services, nor does the mention of trade names, commercial products, or organizations imply endorsement by the U.S. government. The authors assume full responsibility for the accuracy and completeness of the ideas presented. This article is a direct result of the Health Care Quality Improvement Program initiated by the Health Care Financing Administration, which has encouraged identification of quality improvement projects derived from analysis of patterns of care.
Acknowledgments: The authors thank Damon Seils for editorial assistance and manuscript preparation. Data were provided by the Delmarva Foundation for Medical Care, Inc., and the Centers for Medicare & Medicaid Services, both in Baltimore, Maryland.
Grant Support: None.
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Trip J. Meine, MD, 877-B West Faris Road, Greenville, SC 29605.
Current Author Addresses: Drs. Meine, Patel, Curtis, Rao, Schulman, and Jollis and Ms. DePuy: Duke Clinical Research Institute, PO Box 17969, Durham, NC 27715.
Dr. Gersh: Mayo Clinic, Cardiovascular Division, 200 First Street SW, Rochester, MN 55905.
Author Contributions: Conception and design: T.J. Meine, M.R. Patel, S.V. Rao, K.A. Schulman, J.G. Jollis.
Analysis and interpretation of the data: T.J. Meine, M.R. Patel, V. DePuy, L.H. Curtis, S.V. Rao, K.A. Schulman, J.G. Jollis.
Drafting of the article: T.J. Meine, M.R. Patel, B.J. Gersh.
Critical revision of the article for important intellectual content: T.J. Meine, M.R. Patel, V. DePuy, L.H. Curtis, S.V. Rao, B.J. Gersh, K.A. Schulman, J.G. Jollis.
Final approval of the article: T.J. Meine, M.R. Patel, L.H. Curtis, S.V. Rao, B.J. Gersh, K.A. Schulman, J.G. Jollis.
Provision of study materials or patients: L.H. Curtis, S.V. Rao, K.A. Schulman.
Statistical expertise: V. DePuy, L.H. Curtis, J.G. Jollis.
Obtaining of funding: J.G. Jollis.
Administrative, technical, or logistic support: M.R. Patel, L.H. Curtis, K.A. Schulman.
Collection and assembly of data: J.G. Jollis.
Meine TJ, Patel MR, DePuy V, Curtis LH, Rao SV, Gersh BJ, et al. Evidence-Based Therapies and Mortality in Patients Hospitalized in December with Acute Myocardial Infarction. Ann Intern Med. 2005;143:481-485. doi: 10.7326/0003-4819-143-7-200510040-00006
Download citation file:
Published: Ann Intern Med. 2005;143(7):481-485.
In the United States, the outcomes of patients who have myocardial infarctions (MIs) in December are worse than the outcomes during other months. Some attribute this result to less use of evidence-based therapies during the holiday season.
From January 1994 through February 1996, Medicare beneficiaries hospitalized with acute MI in December received evidence-based therapies at the same rate as patients hospitalized in other months but had slightly higher 30-day mortality rates (21.7% vs. 20.1%; P < 0.001).
Worse outcomes in patients with MI during December are not attributable to less frequent use of evidence-based therapies.
Learn more about subscription options.
Register Now for a free account.
Cardiology, Emergency Medicine, Hospital Medicine, Acute Coronary Syndromes, Coronary Heart Disease.
Results provided by:
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only