In states that publicly report percutaneous coronary intervention outcomes, Medicare beneficiaries with acute myocardial infarction were less likely to undergo PCI compared with states that did not publicly report this data, according to a Journal of the American Medical Association report.
Researchers studied data on Medicare patients who were admitted with acute myocardial infarction to U.S. acute-care hospitals between 2002 and 2010. They analyzed the different rates of PCI between three states with public reporting (New York, Massachusetts and Pennsylvania) and seven states without public reporting (Maine, Vermont, New Hampshire, Connecticut, Rhode Island, Maryland and Delaware).
Results showed that in 2010, patients with acute MI were less likely to receive PCI in public reporting states than in nonreporting states. This difference was most pronounced among patients with ST-segment elevation MI and patients with cardiogenic shock or cardiac arrest.
There were no differences in overall mortality among patients with acute MI between reporting and nonreporting states.
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Researchers studied data on Medicare patients who were admitted with acute myocardial infarction to U.S. acute-care hospitals between 2002 and 2010. They analyzed the different rates of PCI between three states with public reporting (New York, Massachusetts and Pennsylvania) and seven states without public reporting (Maine, Vermont, New Hampshire, Connecticut, Rhode Island, Maryland and Delaware).
Results showed that in 2010, patients with acute MI were less likely to receive PCI in public reporting states than in nonreporting states. This difference was most pronounced among patients with ST-segment elevation MI and patients with cardiogenic shock or cardiac arrest.
There were no differences in overall mortality among patients with acute MI between reporting and nonreporting states.
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