-
Something wrong with this record ?
The role of conservative treatment in regional variations of 30-day acute myocardial infarction mortality: a case of the Czech Republic
I. Hlaváč, M. Opatrný
Language English Country Czech Republic
Document type Journal Article
Digital library NLK
Source
NLK
Free Medical Journals
from 2004
ProQuest Central
from 2009-03-01 to 6 months ago
Medline Complete (EBSCOhost)
from 2006-03-01 to 6 months ago
Nursing & Allied Health Database (ProQuest)
from 2009-03-01 to 6 months ago
Health & Medicine (ProQuest)
from 2009-03-01 to 6 months ago
Public Health Database (ProQuest)
from 2009-03-01 to 6 months ago
ROAD: Directory of Open Access Scholarly Resources
from 1993
PubMed
40293829
DOI
10.21101/cejph.a8462
Knihovny.cz E-resources
- MeSH
- Myocardial Infarction * mortality therapy MeSH
- Conservative Treatment * statistics & numerical data mortality MeSH
- Percutaneous Coronary Intervention statistics & numerical data mortality MeSH
- Middle Aged MeSH
- Humans MeSH
- Hospital Mortality * trends MeSH
- Aged MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
OBJECTIVES: The aim of the study was to analyse the role of conservative treatment and regional differences in 30-day hospital mortality for acute myocardial infarction (AMI) patients in the Czech Republic. METHODS: Using administrative data from Czech health insurance companies for 2018-2020, we employed a probit model to examine factors influencing mortality across 13 complex cardiovascular centres, calculating average marginal effects to ensure interpretable results. RESULTS: Conservative treatment was associated with a 4.7 percentage point increase in 30-day mortality compared to percutaneous coronary intervention (PCI) treatment (95% CI: 3.6-5.7). This effect varied significantly across different types of AMI and healthcare providers, with regional variations in mortality ranging from 0 to 4.3 percentage points relative to the best-performing centre. CONCLUSIONS: Higher proportions of conservative treatment significantly contribute to increased 30-day mortality in complex cardiovascular centres. The persistent regional variations after controlling for patient characteristics suggest the need for standardized treatment protocols and improved data collection systems to reduce disparities in outcomes.
References provided by Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc25011616
- 003
- CZ-PrNML
- 005
- 20250527091600.0
- 007
- ta
- 008
- 250506s2025 xr d f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.21101/cejph.a8462 $2 doi
- 035 __
- $a (PubMed)40293829
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a xr
- 100 1_
- $a Hlaváč, Ivo $u Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic $7 xx0332420
- 245 14
- $a The role of conservative treatment in regional variations of 30-day acute myocardial infarction mortality: a case of the Czech Republic / $c I. Hlaváč, M. Opatrný
- 520 9_
- $a OBJECTIVES: The aim of the study was to analyse the role of conservative treatment and regional differences in 30-day hospital mortality for acute myocardial infarction (AMI) patients in the Czech Republic. METHODS: Using administrative data from Czech health insurance companies for 2018-2020, we employed a probit model to examine factors influencing mortality across 13 complex cardiovascular centres, calculating average marginal effects to ensure interpretable results. RESULTS: Conservative treatment was associated with a 4.7 percentage point increase in 30-day mortality compared to percutaneous coronary intervention (PCI) treatment (95% CI: 3.6-5.7). This effect varied significantly across different types of AMI and healthcare providers, with regional variations in mortality ranging from 0 to 4.3 percentage points relative to the best-performing centre. CONCLUSIONS: Higher proportions of conservative treatment significantly contribute to increased 30-day mortality in complex cardiovascular centres. The persistent regional variations after controlling for patient characteristics suggest the need for standardized treatment protocols and improved data collection systems to reduce disparities in outcomes.
- 650 _2
- $a lidé $7 D006801
- 650 12
- $a infarkt myokardu $x mortalita $x terapie $7 D009203
- 650 _2
- $a mužské pohlaví $7 D008297
- 650 _2
- $a ženské pohlaví $7 D005260
- 650 _2
- $a lidé středního věku $7 D008875
- 650 _2
- $a senioři $7 D000368
- 650 12
- $a konzervativní terapie $x statistika a číselné údaje $x mortalita $7 D000072700
- 650 _2
- $a koronární angioplastika $x statistika a číselné údaje $x mortalita $7 D062645
- 650 12
- $a mortalita v nemocnicích $x trendy $7 D017052
- 651 _2
- $a Česká republika $x epidemiologie $7 D018153
- 655 _2
- $a časopisecké články $7 D016428
- 700 1_
- $a Opatrný, Matěj $u Institute of Economic Studies, Faculty of Social Sciences, Charles University, Prague, Czech Republic $7 xx0332425
- 773 0_
- $w MED00001083 $t Central European journal of public health $x 1210-7778 $g Roč. 33, č. 1 (2025), s. 49-56
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/40293829 $y Pubmed
- 910 __
- $a ABA008 $b B 1829 $c 562 $y p $z 0
- 990 __
- $a 20250506 $b ABA008
- 991 __
- $a 20250527091600 $b ABA008
- 999 __
- $a ok $b bmc $g 2324867 $s 1248706
- BAS __
- $a 3
- BAS __
- $a PreBMC-MEDLINE
- BMC __
- $a 2025 $b 33 $c 1 $d 49-56 $e - $i 1210-7778 $m Central European journal of public health $n Cent Eur J Public Health $x MED00001083
- LZP __
- $b NLK116 $a Pubmed-20250506
