当前位置： SCI文献检索 > AMERICAN HEART JOURNAL期刊下所有文献 > Clinical correlates of in-hospital costs for acute myocardial infarction in patients 65 years of age and older.

Clinical correlates of in-hospital costs for acute myocardial infarction in patients 65 years of age and older.

Abstract：

:Although cost estimates for acute myocardial infarction are necessary for decisions about allocating scarce resources, there is a relative paucity of studies that estimate these costs across the entire spectrum of hospitals in actual clinical practice. This study sought to determine the correlates of in-hospital costs for acute myocardial infarction in patients 65 years of age and older. In the Cooperative Cardiovascular Project pilot, medical records were abstracted for acute myocardial infarction hospitalizations in Connecticut from June 1, 1992, through May 20, 1993. In-hospital costs were calculated by multiplying charges from cost centers by the Medicare ratio of cost-to-charge. Among the 2628 patients in the study sample, the total mean in-hospital cost was $14,772, and the median in-hospital cost was $10,409 (twenty-fifth to seventy-fifth percentile, $6960 to $17,225). The largest proportion of the costs were concentrated in room costs (43% of the total). Although several demographic and clinical characteristics were significantly associated with cost, they accounted for only 7% of the variation. In-hospital procedures and adverse outcomes accounted for 53% of the variation.

journal_name

Am Heart J

journal_title

American heart journal

authors

Krumholz HM,Chen J,Murillo JE,Cohen DJ,Radford MJ

doi

10.1016/s0002-8703(98)70331-x

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

523-31

issue

3

eissn

0002-8703

issn

1097-6744

pii

S0002-8703(98)70331-X

journal_volume

135

pub_type

杂志文章

相关文献

AMERICAN HEART JOURNAL文献大全
  • Long-term intraindividual cholesterol variability: natural course and adverse impact on morbidity and mortality--the Framingham Study.

    abstract：:We examined intraindividual variability in serum TC in 2912 men and women having TC measured at each of biennial examinations 2 through 7 of the FHS. RMSE described variability around the linear slope of an individual's TC during the baseline decade. Average biennial difference +/- SD was +3.7 +/- 6.7 mg/dl in men, +6...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(94)90393-x

    authors： Kreger BE,Odell PM,D'Agostino RB,Wilson PF

    更新日期：1994-06-01 00:00:00

  • Ten-year experience with mitral valve replacement in the elderly.

    abstract：:Limited data are available on mitral valve replacement in the elderly patient. Therefore we report our 10-year experience including predictors of perioperative mortality and subsequent long-term cardiac mortality in elderly patients with mitral valve replacement compared to younger patients. Of the 126 consecutive pat...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(92)90934-n

    authors： Nair CK,Biddle WP,Kaneshige A,Cook C,Ryschon K,Sketch MH Sr

    更新日期：1992-07-01 00:00:00

  • Characteristics and outcomes of cardiomyopathy in children with Duchenne or Becker muscular dystrophy: a comparative study from the Pediatric Cardiomyopathy Registry.

    abstract：OBJECTIVE:The aim of this study was to determine in pediatric Duchenne (DMD) and Becker muscular dystrophy (BMD) or other dilated cardiomyopathies (ODCM) whether outcomes differ by diagnosis. BACKGROUND:Children with dilated cardiomyopathy are treated as a single undifferentiated group. METHODS:This cohort study of 1...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2008.01.018

    authors： Connuck DM,Sleeper LA,Colan SD,Cox GF,Towbin JA,Lowe AM,Wilkinson JD,Orav EJ,Cuniberti L,Salbert BA,Lipshultz SE,Pediatric Cardiomyopathy Registry Study Group.

    更新日期：2008-06-01 00:00:00

  • Improved detection of infective endocarditis with transesophageal echocardiography.

    abstract：:The incremental advantage of transesophageal echocardiography was determined by comparing results of paired transthoracic and transesophageal echocardiographic examinations performed in 61 patients for evaluation of suspected infective endocarditis. According to clinical and pathologic data, 31 of 61 (51%) patients ha...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(92)90519-2

    authors： Birmingham GD,Rahko PS,Ballantyne F 3rd

    更新日期：1992-03-01 00:00:00

  • Acute coronary occlusion occurring after successful percutaneous transluminal coronary angioplasty: temporal relationship to discontinuation of anticoagulation.

    abstract：:The incidence and prognosis of acute coronary reocclusion occurring after patients had left the catheterization laboratory following a successful percutaneous transluminal coronary angioplasty (PTCA) procedure and the temporal relation of this event to the discontinuation of systemic heparin administration were analyz...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(88)90326-2

    authors： Gabliani G,Deligonul U,Kern MJ,Vandormael M

    更新日期：1988-09-01 00:00:00

  • Predictors of prognosis in severe chronic heart failure.

    abstract：:A total of 127 patients with chronic heart failure referred to our exercise laboratory were studied retrospectively to identify parameters predictive of prognosis. Patients were followed for a mean of 14.6 months. The group as a whole had severe ventricular dysfunction with a median ejection fraction of 17% and a medi...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(92)90656-g

    authors： Parameshwar J,Keegan J,Sparrow J,Sutton GC,Poole-Wilson PA

    更新日期：1992-02-01 00:00:00

  • High shear stress after successful balloon angioplasty is associated with restenosis and target lesion revascularization.

    abstract：BACKGROUND:Vascular wall shear stress (WSS) has been implied in the pathogenesis of atherosclerosis and vascular remodeling. Our aim was to calculate WSS after balloon angioplasty and evaluate its predictive value for long-term outcome. METHODS:WSS was calculated proximal to, in, and distal to the lesion after angiogr...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1067/mhj.2002.123110

    authors： Thury A,van Langenhove G,Carlier SG,Albertal M,Kozuma K,Regar E,Sianos G,Wentzel JJ,Krams R,Slager CJ,Piek JJ,Serruys PW,DEBATE Investigators. Doppler Endpoints Balloon Angioplasty Trial Europe.

    更新日期：2002-07-01 00:00:00

  • Enhancement of pulsed-dye laser ablation of arterial tissues with blood medium: effects of laser-induced shock waves.

    abstract：:The influence of blood medium on tissue ablation by a pulsed dye laser and its selectivity for atheroma were investigated. The role of shock waves on tissue ablation was also evaluated. Normal and atherosclerotic human aortas were irradiated by a 480 nm pulsed dye laser activated at 5 Hz. The laser was coupled with a ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(91)90529-q

    authors： Tomaru T,Geschwind HJ,Lange F,Boussignac G

    更新日期：1991-09-01 00:00:00

  • Genetic diversity of the KCNE1 gene and susceptibility to postoperative atrial fibrillation.

    abstract：BACKGROUND:The human KCNE1 protein forms the β-subunit of the IKs potassium channel and is important in the regulation of the atrial action potential duration. The purpose of this study was to investigate the association between the nonsynonymous 112G>A mutation of the KCNE1 gene and postcardiac surgery atrial fibrilla...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2013.09.020

    authors： Voudris KV,Apostolakis S,Karyofillis P,Doukas K,Zaravinos A,Androutsopoulos VP,Michalis A,Voudris V,Spandidos DA

    更新日期：2014-02-01 00:00:00

  • Association of gut-related metabolites with outcome in acute heart failure.

    abstract：BACKGROUND:Trimethylamine N-oxide (TMAO), a gut-related metabolite, is associated with heart failure (HF) outcomes. However, TMAO is the final product of a complex metabolic pathway (ie, choline/carnitine) that has never been entirely investigated in HF. The present study investigates a panel of metabolites involved in...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2021.01.006

    authors： Israr MZ,Bernieh D,Salzano A,Cassambai S,Yazaki Y,Heaney LM,Jones DJL,Ng LL,Suzuki T

    更新日期：2021-01-14 00:00:00

  • Comparison of the right and left ventricle as a systemic ventricle during exercise in patients with congenital heart disease.

    abstract：BACKGROUND:Few studies have investigated the clinical advantages of surgical correction with the morphologic left ventricle (MLV) instead of the morphologic right ventricle as a systemic ventricle (SV) in patients with congenital heart disease. METHODS:Twenty-four healthy control subjects (group A1), 6 patients with i...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/s0002-8703(99)70381-9

    authors： Ohuchi H,Hiraumi Y,Tasato H,Kuwahara A,Chado H,Toyohara K,Arakaki Y,Yagihara T,Kamiya T

    更新日期：1999-06-01 00:00:00

  • Effects of aging on left ventricular structure and function.

    abstract：:To better characterize the cardiac structural and functional changes that are associated with aging, Doppler-echocardiography was performed on 23 young (mean age, 25 years) and 30 old (mean age, 70 years) healthy normotensive subjects. Left ventricular cavity dimensions and wall thickness were determined and left vent...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(91)90201-r

    authors： Pearson AC,Gudipati CV,Labovitz AJ

    更新日期：1991-03-01 00:00:00

  • Rationale and design of the Aquapheresis Versus Intravenous Diuretics and Hospitalization for Heart Failure (AVOID-HF) trial.

    abstract：BACKGROUND:In patients hospitalized with acutely decompensated heart failure, unresolved signs and symptoms of fluid overload have been consistently associated with poor outcomes. Regardless of dosing and type of administration, intravenous loop diuretics have not reduced heart failure events or mortality in patients w...

    journal_title：American heart journal

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.ahj.2015.05.019

    authors： Costanzo MR,Negoianu D,Fonarow GC,Jaski BE,Bart BA,Heywood JT,Nabut JL,Schollmeyer MP

    更新日期：2015-09-01 00:00:00

  • Angiographic correlates of recurrent sustained ventricular tachycardia in chronic ischemic heart disease.

    abstract：:We report the angiographic studies of 53 consecutive patients with angiographic coronary artery disease (CAD) and recurrent sustained ventricular tachycardia occurring at least 6 weeks remote from an acute myocardial infarction. Triple-vessel disease was present in 25 patients (47%), double-vessel disease in 19 patien...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(83)90392-7

    authors： Lam W,Pietras R,Bauernfeind R,Swiryn S,Strasberg B,Palileo E,Rosen KM

    更新日期：1983-06-01 00:00:00

  • Intraoperative assessment of left ventricular heterogeneity.

    abstract：:To evaluate regional differences in thickness and systolic function of human myocardium perfused by angiographically normal coronary arteries in valvular and ischemic heart disease, we performed intraoperative epicardial M-mode mapping of ventriculographically normal wall regions (perfused by normal coronary arteries)...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(86)90273-5

    authors： Douglas PS,Reichek N,Franklin K,Muhammad A,Sutton MG,Harken A

    更新日期：1986-08-01 00:00:00

  • The role of the emergency department in acute heart failure clinical trials--enriching patient identification and enrollment.

    abstract：:Nearly 800,000 of the 1 million patients hospitalized with acute heart failure (AHF) every year are initially treated by emergency physicians. Signs and symptoms are typically most severe at initial presentation, but with timely diagnostic and therapeutic management, rapid improvement can be achieved. As a direct resu...

    journal_title：American heart journal

    pub_type： 杂志文章,评审

    doi：10.1016/j.ahj.2013.03.009

    authors： Collins SP,Levy PD,Pang PS,Gheorghiade M

    更新日期：2013-06-01 00:00:00

  • CardioSEAL/STARflex versus Amplatzer devices for percutaneous closure of small to moderate (up to 18 mm) atrial septal defects.

    abstract：BACKGROUND:The Amplatzer septal occluder (ASO) allows the percutaneous closure of small to very large atrial septal defects (ASDs). The CardioSEAL/STARflex (CS/SF) can be used only for closure of small to moderate ASDs (stretch size up to 18 mm). These 2 devices are widely used in clinical practice. Therefore, a compar...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2004.03.013

    authors： Butera G,Carminati M,Chessa M,Delogu A,Drago M,Piazza L,Giamberti A,Frigiola A

    更新日期：2004-09-01 00:00:00

  • Multifocal atrial tachycardia: mechanisms, clinical correlates, and treatment.

    abstract：:MAT is an uncommon arrhythmia most often seen in elderly patients with chronic pulmonary disease who are critically ill due to acute respiratory or cardiac decompensation. Its importance lies in the fact that it is commonly mistaken for AF, since both disorders are characterized by narrow ventricular complexes, irregu...

    journal_title：American heart journal

    pub_type： 杂志文章,评审

    doi：10.1016/0002-8703(89)90275-5

    authors： Scher DL,Arsura EL

    更新日期：1989-09-01 00:00:00

  • Borderline left ventricles in prenatally diagnosed atrioventricular septal defect or double outlet right ventricle: echocardiographic predictors of biventricular repair.

    abstract：BACKGROUND:Atrioventricular septal defect (AVSD) and double outlet right ventricle (DORV) with normally related great arteries and normal ventricular sizes are associated with a good long-term prognosis after biventricular (BV) repair. The outcome of cases with a borderline small left ventricle (bLV) is unclear. The pu...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2006.04.018

    authors： Pitkänen OM,Hornberger LK,Miner SE,Mondal T,Smallhorn JF,Jaeggi E,Nield LE

    更新日期：2006-07-01 00:00:00

  • Drinking and coronary heart disease: the Albany Study.

    abstract：:The relation of alcohol consumption to coronary heart disease (CHD) was examined in a cohort of 1910 employed men aged 38 to 55 years enrolled in the Albany Study, a prospective investigation of factors related to cardiovascular disease. Two follow-up periods were examined, one between 1953-54 and 1971-72, the other a...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(85)90152-8

    authors： Gordon T,Doyle JT

    更新日期：1985-08-01 00:00:00

  • Inpatient admissions and costs of congenital heart disease from adolescence to young adulthood.

    abstract：BACKGROUND:Health care utilization patterns and associated costs of congenital heart disease (CHD) in young adulthood are not well understood. METHODS:California State Inpatient Databases 2005 to 2009 were used to conduct a retrospective study on inpatient admissions of CHD patients 10 to 29 years old (n = 7,419) and ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2014.08.006

    authors： Lu Y,Agrawal G,Lin CW,Williams RG

    更新日期：2014-12-01 00:00:00

  • Kinetics of LDL subfractions.

    abstract：:After injecting 125I- or 131I-labeled lipoproteins, plasma was subjected to discontinuous density gradient centrifugation, which separates low-density lipoproteins (LDL) into three subfractions. Analysis of changes in apolipoprotein B-specific activity with time showed that light LDL is normally the product of interme...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(87)90623-5

    authors： Thompson GR,Teng B,Sniderman AD

    更新日期：1987-02-01 00:00:00

  • Successive transradial access for coronary procedures: experience of Quebec Heart-Lung Institute.

    abstract：BACKGROUND:Transradial approach (TRA) for cardiac catheterizations and interventions improves clinical outcomes compared with transfemoral access, and its use is increasing worldwide. However, there are limited data on successive use of same artery for repeat procedures. METHODS:Between May 2010 and May 2011, all cons...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2012.10.016

    authors： Abdelaal E,Molin P,Plourde G,Machaalany J,Bataille Y,Brousseau-Provencher C,Montminy S,Larose E,Roy L,Gleeton O,Barbeau G,Nguyen CM,Noël B,Costerousse O,Bertrand OF

    更新日期：2013-03-01 00:00:00

  • The impact of oral antiplatelet responsiveness on the long-term prognosis after coronary stenting.

    abstract：BACKGROUND:Decreased responsiveness to oral antiplatelet drug therapy has been associated with an adverse outcome after coronary stenting (CS), but more studies are needed. The purpose of the present study was to prospectively evaluate this issue. METHODS:A total of 612 consecutive patients with stable or unstable cor...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2007.06.013

    authors： Foussas SG,Zairis MN,Patsourakos NG,Makrygiannis SS,Adamopoulou EN,Handanis SM,Prekates AA,Fakiolas CN,Pissimissis EG,Olympios CD,Argyrakis SK

    更新日期：2007-10-01 00:00:00

  • Arrhythmia inducibility and ventricular vulnerability in a chronic feline infarction model.

    abstract：:Ventricular tachyarrhythmias are the cause of sudden cardiac death in ischemic heart disease. Reliable animal models are necessary to study techniques for identifying individuals at risk and to develop effective modes of therapy. The purpose of the present study was to evaluate the inducibility of ventricular tachyarr...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(85)90191-7

    authors： Wetstein L,Mark R,Kelliher GJ,Friehling T,O'Connor KM,Kowey PR

    更新日期：1985-11-01 00:00:00

  • Rate-control versus conversion strategy in postoperative atrial fibrillation: a prospective, randomized pilot study.

    abstract：BACKGROUND:Atrial fibrillation remains a frequent complication after heart surgery. The optimal strategy to treat the condition has not been established. Several retrospective studies have suggested that a primary rate-control strategy may be equivalent to a strategy that restores sinus rhythm. METHODS:Fifty patients ...

    journal_title：American heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1067/mhj.2000.111104

    authors： Lee JK,Klein GJ,Krahn AD,Yee R,Zarnke K,Simpson C,Skanes A,Spindler B

    更新日期：2000-12-01 00:00:00

  • The coronary artery response to implantation of a balloon-expandable flexible stent in the aspirin- and non-aspirin-treated swine model.

    abstract：:Intracoronary stents may potentially alleviate some of the problems associated with coronary angioplasty. Since the anatomy and physiology of swine coronary arteries closely resemble those of humans, the response to implantation of the Glanturco-Roubin, balloon-expandable, flexible stent was studied in this model. Add...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(91)90506-d

    authors： Rodgers GP,Minor ST,Robinson K,Cromeens D,Stephens LC,Woolbert SC,Guyton JR,Wright K,Siegel R,Roubin GS

    更新日期：1991-09-01 00:00:00

  • Prognostic significance of circulating levels of angiogenic cytokines in patients with congestive heart failure.

    abstract：BACKGROUND:Recent experimental studies have suggested that the angiogenic cytokines hepatocyte growth factor (HGF) and vascular endothelial growth factor (VEGF) may play a role in the pathogenesis of congestive heart failure (CHF). The aim of the present study was to test the hypothesis that HGF and VEGF concentrations...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2005.03.047

    authors： Lamblin N,Susen S,Dagorn J,Mouquet F,Jude B,Van Belle E,Bauters C,de Groote P

    更新日期：2005-07-01 00:00:00

  • Correlation of "critical" left coronary artery lesions with positive submaximal exercise tests in patients with chest pain.

    abstract：:This study correlates the anatomic pathologic coronary anatomy found by arteriography in each of three groups of symptomatic patients, all with coronary artery disease, divided according to the magnitude of ST-segment depression after an adequate submaximal treadmill exercise test. Group I consists of 45 patients with...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(75)90080-0

    authors： Cheitlin MD,Davia JE,de Castro CM,Barrow EA,Anderson WT

    更新日期：1975-03-01 00:00:00

  • Gender differences among patients with acute coronary syndromes undergoing percutaneous coronary intervention in the American College of Cardiology-National Cardiovascular Data Registry (ACC-NCDR).

    abstract：BACKGROUND:Although prior studies have demonstrated disparities in the management and outcomes of women with acute coronary syndrome (ACS), there are limited large-scale contemporary data on gender differences in post-intervention outcomes in this population. METHODS:We analyzed patients according to 2 ACS categories,...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2008.08.012

    authors： Akhter N,Milford-Beland S,Roe MT,Piana RN,Kao J,Shroff A

    更新日期：2009-01-01 00:00:00