OBJECTIVE To evaluate the association between door-to-balloon time and mortality in hospital in patients undergoing primary percutaneous coronary intervention for ST elevation myocardial infarction to assess the incremental mortality benefit of reductions in door-to-balloon times of less than 90 minutes. DESIGN Prospective cohort study of patients… (More)
OBJECTIVE To evaluate the effect of a mental illness diagnosis on quality of care and outcomes among patients with heart failure. DESIGN Retrospective, national, population-based sample of patients with heart failure hospitalized from April 1, 1998, through March 31, 1999, and July 1, 2000, through June 30, 2001. SETTING Nonfederal US acute care… (More)
BACKGROUND Achieving 'personalized medicine' requires enrolling representative cohorts into genetic studies, but patient self-selection may introduce bias. We sought to identify characteristics associated with genetic consent in a myocardial infarction (MI) registry. METHODS We assessed correlates of participation in the genetic sub-study of TRIUMPH, a… (More)
BACKGROUND Little is known about the association between financial stress and health care outcomes. Our objective was to examine the association between self-reported financial stress during initial hospitalization and long-term outcomes after acute myocardial infarction (AMI). MATERIALS AND METHODS We used prospective registry evaluating myocardial… (More)
Acknowledgements: Saif Rathore and Caleb Alexander made essential contributions to the design of the physician survey and experiment and provided invaluable clinical expertise. provided generous support for the project. Harris Interactive implemented the survey and participated in its design. Survey and other data costs were funded by Pfizer Inc.
OBJECTIVE To evaluate the relationship between A1C and glucose therapy intensification (GTI) in patients with diabetes mellitus (DM) hospitalized for acute myocardial infarction (AMI). RESEARCH DESIGN AND METHODS A1C was measured as part of routine care (clinical A1C) or in the core laboratory (laboratory A1C, results unavailable to clinicians). GTI… (More)
BACKGROUND We sought to estimate the numbers of patients affected and deaths avoided by adopting the Leapfrog Group's recommended hospital procedure volume minimums for coronary artery bypass graft (CABG) surgery and percutaneous coronary intervention (PCI). In addition to hospital risk-adjusted mortality standards, the Leapfrog Group recommends annual… (More)
Data supporting the existence of a relationship between reimbursement and quality are limited. We assessed the association between quality of care for 34,318 patients hospitalized with heart failure across the US and heart failure Diagnosis Related Group (DRG) payment for the 3,905 hospitals at which patients were admitted. Payment varied from $2606 to… (More)