Table 2.
Correlations between average daily volume of emergency physicians and major outcomes of acute myocardial infarction.
| Variables | Major outcomes | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Death within 30 days | ED revisits within 3 days | Readmission within 14 days | |||||||
| Events | % | P value | Events | % | P value | Events | % | P value | |
| Total number | 1,131 | 6.40 | 130 | 0.74 | 178 | 1.01 | |||
| Average daily volume of emergency physicians | 0.716 | 0.293 | 0.376 | ||||||
| ≤ Q1 | 299 | 6.42 | 26 | 0.56 | 42 | 0.90 | |||
| Q1 ~ Q2 | 295 | 6.12 | 38 | 0.79 | 43 | 0.89 | |||
| Q2 ~ Q3 | 293 | 6.71 | 39 | 0.89 | 53 | 1.21 | |||
| > Q3 | 244 | 6.40 | 27 | 0.71 | 40 | 1.05 | |||
| PCI service model | < 0.001 | 0.232 | 0.032 | ||||||
| Non-24-h | 883 | 6.78 | 102 | 0.78 | 144 | 1.11 | |||
| 24-h | 248 | 5.34 | 28 | 0.60 | 34 | 0.73 | |||
| Gender | < 0.001 | 0.268 | 0.442 | ||||||
| Female | 342 | 11.80 | 26 | 0.90 | 33 | 1.14 | |||
| Male | 789 | 5.34 | 104 | 0.70 | 145 | 0.98 | |||
| Age (years) | < 0.001 | < 0.001 | 0.034 | ||||||
| < 45 | 45 | 2.39 | 7 | 0.37 | 13 | 0.69 | |||
| 45–54 | 95 | 2.44 | 25 | 0.64 | 28 | 0.72 | |||
| 55–64 | 188 | 3.79 | 32 | 0.65 | 49 | 0.99 | |||
| 65–74 | 252 | 7.01 | 20 | 0.56 | 40 | 1.11 | |||
| 75–84 | 338 | 13.90 | 27 | 1.11 | 34 | 1.40 | |||
| ≧85 | 213 | 23.80 | 19 | 2.12 | 14 | 1.56 | |||
| Mean ± SD | 72.30 ± 13.67 | 66.66 ± 14.80 | 65.52 ± 13.82 | ||||||
| CCI score1 | < 0.001 | 0.019 | 0.004 | ||||||
| 0 | 241 | 3.49 | 34 | 0.49 | 48 | 0.69 | |||
| 1 | 322 | 6.06 | 41 | 0.77 | 56 | 1.05 | |||
| 2 | 185 | 8.94 | 22 | 1.06 | 24 | 1.16 | |||
| 3 | 131 | 8.95 | 13 | 0.89 | 21 | 1.43 | |||
| ≧4 | 252 | 13.26 | 20 | 1.05 | 29 | 1.53 | |||
| Monthly salary (NTD) | < 0.001 | 0.999 | 0.067 | ||||||
| ≦17,280 | 350 | 8.16 | 32 | 0.75 | 41 | 0.96 | |||
| 17,281–22,080 | 192 | 7.31 | 19 | 0.72 | 26 | 0.99 | |||
| 22,081–36,300 | 415 | 6.14 | 50 | 0.74 | 83 | 1.23 | |||
| ≧36,301 | 174 | 4.36 | 29 | 0.73 | 28 | 0.70 | |||
| Urbanization level | < 0.001 | 0.002 | 0.004 | ||||||
| Level 1 | 193 | 5.25 | 13 | 0.35 | 17 | 0.46 | |||
| Level 2 | 338 | 6.04 | 36 | 0.64 | 60 | 1.07 | |||
| Level 3 | 191 | 5.57 | 27 | 0.79 | 40 | 1.17 | |||
| Level 4 | 208 | 7.57 | 30 | 1.09 | 31 | 1.13 | |||
| Level 5–7 | 201 | 9.08 | 24 | 1.08 | 30 | 1.36 | |||
| Other catastrophic illness | < 0.001 | 0.092 | 0.084 | ||||||
| No | 976 | 5.90 | 117 | 0.71 | 161 | 0.97 | |||
| Yes | 155 | 13.72 | 13 | 1.15 | 17 | 1.50 | |||
| MI severity | < 0.001 | 0.296 | 0.488 | ||||||
| 1 blood vessel | 887 | 5.73 | 110 | 0.71 | 159 | 1.03 | |||
| 2 blood vessels | 220 | 11.06 | 20 | 0.91 | 19 | 0.87 | |||
| ≥ 3 blood vessels | 24 | 12.24 | - | - | - | - | |||
| Coronary stent implantation | < 0.001 | 0.499 | 0.234 | ||||||
| No | 748 | 5.89 | 97 | 0.76 | 121 | 0.95 | |||
| Yes | 383 | 7.73 | 33 | 0.67 | 57 | 1.15 | |||
| Triage level | < 0.001 | 0.501 | 0.597 | ||||||
| Level 1 | 489 | 11.81 | 33 | 0.80 | 45 | 1.09 | |||
| Level 2 | 469 | 4.53 | 72 | 0.69 | 106 | 1.02 | |||
| Level 3 | 161 | 5.43 | 25 | 0.84 | 27 | 0.85 | |||
| Levels 4 & 5 | 12 | 6.15 | - | - | - | - | |||
| Accumulated PCI operator volume | < 0.001 | 0.232 | 0.518 | ||||||
| ≤ Q1 | 471 | 10.29 | 43 | 0.94 | 52 | 1.14 | |||
| Q1 ~ Q2 | 236 | 5.41 | 25 | 0.57 | 41 | 0.94 | |||
| Q2 ~ Q3 | 203 | 4.62 | 32 | 0.73 | 48 | 1.09 | |||
| > Q3 | 221 | 5.11 | 30 | 0.69 | 37 | 0.86 | |||
| Previous year’s PCI operator volume | < 0.001 | 0.532 | 0.811 | ||||||
| ≤ Q1 | 463 | 9.79 | 41 | 0.87 | 46 | 0.97 | |||
| Q1 ~ Q2 | 225 | 5.10 | 31 | 0.70 | 49 | 1.11 | |||
| Q2 ~ Q3 | 223 | 5.38 | 25 | 0.60 | 43 | 1.04 | |||
| > Q3 | 220 | 5.02 | 33 | 0.75 | 40 | 0.91 | |||
| Hospital level | < 0.001 | 0.001 | 0.012 | ||||||
| Medical centers | 326 | 5.25 | 27 | 0.43 | 46 | 0.74 | |||
| Regional hospitals | 683 | 7.07 | 83 | 0.86 | 106 | 1.10 | |||
| District hospitals | 122 | 6.84 | 20 | 1.12 | 26 | 1.46 | |||
| Hospital ownership | 0.587 | 0.705 | 0.609 | ||||||
| Public | 339 | 6.56 | 40 | 0.77 | 49 | 0.95 | |||
| Nonpublic | 792 | 6.34 | 90 | 0.72 | 129 | 1.03 | |||
| Previous year’s PCI institutional volume | < 0.001 | 0.009 | 0.094 | ||||||
| ≤ Q1 | 344 | 7.29 | 39 | 0.83 | 59 | 1.25 | |||
| Q1 ~ Q2 | 309 | 7.18 | 44 | 1.02 | 47 | 1.09 | |||
| Q2 ~ Q3 | 254 | 5.87 | 29 | 0.67 | 40 | 0.92 | |||
| > Q3 | 224 | 5.20 | 18 | 0.42 | 32 | 0.74 | |||
1Myocardial infarction was excluded from CCI score calculation.