Hospital Strategies for Decreasing AMI Mortality

Five specific organizational practices significantly associated with lower risk-standardized mortality rates

In-hospital mortality after acute myocardial infarction (AMI) has decreased significantly over the past several decades but varies considerably among U.S. hospitals. In a quantitative analysis building on previous qualitative research (JW Cardiol Mar 30 2011), these investigators sought to identify specific strategies associated with low 30-day risk-standardized mortality rates (RSMRs) after AMI.

Of 590 hospitals surveyed, 537 (91%) responded. The surveyed hospitals had an overall weighted mean RSMR of 15.4% (standard deviation, 1.5; range, 11.5%–21.7%). Multivariate analysis revealed several strategies that were significantly associated with lower-end RSMRs:

Holding monthly meetings to review AMI cases with hospital clinicians and staff who …

Reviewing Author

Joel M. Gore, MD

Disclosures

Grant/Research SupportNIH–National Heart, Lung, and Blood Institute

Joel M. Gore, MD

Disclosures

Grant/Research SupportNIH–National Heart, Lung, and Blood Institute