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Comparing risk-adjusted hospital mortality for CABG and AMI patients

Title
Comparing risk-adjusted hospital mortality for CABG and AMI patients
Authors
Park H.K.Ahn H.S.Yoon S.J.Lee H.Y.Hong J.M.Lee S.W.Hann H.J.
Ewha Authors
한후재
SCOPUS Author ID
한후재scopus
Issue Date
2005
Journal Title
Journal of International Medical Research
ISSN
0300-0605JCR Link
Citation
vol. 33, no. 4, pp. 425 - 433
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
The objectives of this study were to compare the risk-adjusted mortality of coronary artery bypass graft (CABG) and acute myocardial infarction (AMI) patients simultaneously in six hospitals in Seoul, Korea, and to investigate the relationship between these performance measures by developing a predictive model of mortality. The medical records of 749 AMI and 564 CABG patients were reviewed. A predictive model was developed using logistic regression, including 170 variables selected as risk factors for risk adjustment. The validity of our predictive model was demonstrated to be within an acceptable range. The results showed that one hospital with a significantly low AMI mortality rate also had a low CABG mortality rate, while another hospital with a significantly high AMI mortality rate also had a high CABG mortality rate. Our results implied that hospitals providing good-quality medical management of coronary artery disease also provided a good-quality surgical service.
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의학전문대학원 > 의학과 > Journal papers
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