Table 2. Inpatient mortality, rates of PCI and bleeding complications among patients admitted with AMI during May and July, according to teaching-intensive hospital status and predicted inpatient mortality risk.
Teaching-intensive hospitals | Non-teaching-intensive hospitals | |||
---|---|---|---|---|
May | July | May | July | |
Patients at high predicted inpatient mortality | ||||
No. patients | 1381 | 1344 | 8561 | 7768 |
Deaths, No. | 285 | 333 | 1908 | 1730 |
Mortality rate, % (95% CI) | 20.6 (18.5 - 22.9) | 24.8 (22.5 - 27.2) | 22.3 (21.4 - 23.2) | 22.3 (21.4 - 23.2) |
Received PCI, No. | 275 | 267 | 1,117 | 1,052 |
PCI rate, % (95% CI) | 19.9 (17.8 - 22.1) | 19.9 (17.8 - 22.1) | 13.0 (12.3 - 13.8) | 13.5 (12.8 - 14.3) |
Bleeding complication, No. | 170 | 179 | 600 | 544 |
Bleeding rate, % (95% CI) | 12.3 (10.6 - 14.2) | 13.3 (11.5 - 15.3) | 7.0 (6.5 - 7.6) | 7.0 (6. 5 - 7.6) |
Patients at low predicted inpatient mortality | ||||
No. patients | 5692 | 5466 | 23371 | 22634 |
Deaths, No. | 113 | 96 | 639 | 644 |
Mortality rate, % (95% CI) | 2.0 (1.6 - 2.4) | 1.8 (1.4 - 2.1) | 2.7 (2.5 - 3.0) | 2.8 (2.6 - 3.1) |
Received PCI, No. | 2,994 | 2,898 | 11,355 | 11,139 |
PCI rate, % (95% CI) | 52.6 (51.3 - 53.9) | 53.0 (51.7 - 54.3) | 48.6 (47.9 - 49.2) | 49.2 (48.6 - 49.9) |
Bleeding complication, No. | 594 | 579 | 1,619 | 1,575 |
Bleeding rate, % (95% CI) | 10.4 (9.7 - 11.3) | 10.6 (9.8 - 11.4) | 6.9 (6.6 - 7.3) | 7.0 (6.6 - 7.3) |
Notes: Predicted mortality was based on a validated risk-adjustment tool from the Agency for Health care Research and Quality. Patients at high predicted inpatient mortality were defined as those in the top quartile of predicted mortality. Patients at low predicted inpatient mortality were defined as those in the bottom three quartiles of predicted mortality.