Abstract
Previous studies have suggested that patients with coronary artery disease (CAD) in rural areas may have worse outcomes due to limited availability of specialists, fewer resources, and less institutional funding. Data were collected from hospitals participating in the Get With the Guidelines-Coronary Artery Disease Program (GWTG-CAD) from January 2000 to December 2008. In-hospital outcomes and quality of care were stratified by care at rural versus urban hospitals. Multivariate logistic regression analysis was used to determine the association of rural locale with in-hospital mortality, length of stay, and compliance with the GWTG-CAD performance measurements including (1) early aspirin use, (2) smoking cessation counseling and discharge prescriptions of (3) aspirin, (4) angiotensin-converting enzyme inhibitors, or angiotensin receptor blockers for left ventricular systolic dysfunction, (5) beta-blockers, and (6) lipid-lowering therapy and a composite of all 6 measurements. Data were collected from 22,096 patients at 71 rural centers and 329,938 patients at 477 urban centers. Unadjusted rates of compliance with performance measurements were lower in rural (range 82.4% to 90.5%) compared to urban (range 81.3% to 95.0%) hospitals...Continue Reading
References
Sep 1, 1997·Journal of the American College of Cardiology·S E ReisA M Feldman
Mar 20, 2001·Archives of Internal Medicine·K Sheikh, C Bullock
Jun 14, 2002·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Ira Moscovice, Jeffrey Stensland
Jun 14, 2002·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·L Gary HartDenise M Lishner
Jun 11, 2003·American Heart Journal·Ali AhmedJames F DeLong
Apr 17, 2004·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Laura-Mae BaldwinLeighton Chan
Aug 4, 2004·Circulation·Frederick A MasoudiHarlan M Krumholz
Apr 20, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·M Nawal LutfiyyaMartin S Lipsky
Mar 15, 2008·Critical Pathways in Cardiology·Yuling Hong, Kenneth A LaBresh
Sep 10, 2008·Archives of Internal Medicine·William R LewisGregg C Fonarow
Feb 6, 2009·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·M Nawal LutfiyyaMartin S Lipsky
Citations
Jul 7, 2011·JAMA : the Journal of the American Medical Association·Karen E JoyntAshish K Jha
May 21, 2011·Current Opinion in Cardiology·Bradi B Granger, Hayden B Bosworth
Apr 20, 2013·American Journal of Public Health·Cathy L MelvinUNKNOWN Workshop Working Group on CVD Prevention in High-Risk Rural Communities
Jun 4, 2014·BMC Public Health·Gaetanne K MurphyDean T Eurich
Sep 14, 2015·Heart, Lung & Circulation·Sradha KotwalMartin Gallagher
Dec 4, 2015·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Daniel BechtoldKenn B Daratha
Oct 5, 2011·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Daniel RodriguezUNKNOWN AVAIL Investigators
Apr 13, 2011·The American Journal of Cardiology·Mori J KrantzUNKNOWN Get With the Guidelines Steering Committee and Hospitals
Oct 16, 2015·Heart Failure Clinics·Hugo E VerdejoPablo F Castro
Jan 21, 2014·The American Journal of Cardiology·Avi ShimonyUNKNOWN ZESCA Investigators
Jun 9, 2016·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Preethy NayarBettye A Apenteng
Sep 7, 2016·American Heart Journal·Yongchen HaoUNKNOWN CCC-ACS Investigators
Aug 6, 2016·Heart & Lung : the Journal of Critical Care·James P RhudyMarie A Bakitas
Jun 7, 2011·European Journal of Preventive Cardiology·Alan A CohenUNKNOWN PRIMUS research group
Feb 5, 2016·Scientific Reports·Francis J Alenghat
Oct 30, 2016·Journal of the American Heart Association·Ravi S HiraHani Jneid
Apr 3, 2012·Critical Care Nurse·Nancy M Albert
Dec 19, 2019·International Journal of Environmental Research and Public Health·Sandra C ThompsonFrank Sanfilippo
Feb 23, 2020·Circulation·Robert A HarringtonKaren E Joynt Maddox
Jan 12, 2012·Diabetes & Vascular Disease Research : Official Journal of the International Society of Diabetes and Vascular Disease·Pamela B DeGuzmanGeorge A Beller
Oct 22, 2011·Clinical Orthopaedics and Related Research·Benjamin J MillerPeter Cram