Regional Differences in the Ratio of Observed and Expected In-hospital Mortality for Acute Coronary Syndrome Patients in China: The Improving Care for Cardiovascular Disease in China-Acute Coronary Syndrome Project Analysis

医学 急性冠脉综合征 中国 死亡率 急诊医学 区域差异 疾病 冠心病 人口学 内科学 心肌梗塞 政治学 社会学 法学
作者
Jing Wen Yong,Yue Xing,Meng Zhou,Na Yang,Yong Chen Hao,Jing Liu,Jun Liu,Dong Zhao,Yu Jie Zhou,Zhi Jian Wang
出处
期刊:Angiology [SAGE Publishing]
卷期号:73 (4): 357-364 被引量:2
标识
DOI:10.1177/00033197211031323
摘要

Previous studies reported regional variations in in-hospital acute coronary syndrome (ACS) mortality, but the reasons for that were not clearly defined. We explored whether differences in patient characteristics could explain regional variation. The Improving Care for Cardiovascular Disease in China (CCC)-ACS project is an ongoing national registry and quality improvement project, involving 150 tertiary hospitals from 30 provinces across China. We applied a prediction model that included patient-specific variables to calculate the expected in-hospital mortality. For each province, we reported the observed, expected in-hospital mortality and the risk-adjusted ratio which is based on the observed divided by the expected mortality. From 2014 to 2018, 79 585 ACS patients were enrolled. The average in-hospital mortality was 1.8%. There was a wide variation in the in-hospital mortality among different provinces (0.2-3.9%). Patient characteristics explained part of this variation because of differences in the expected in-hospital mortality (0.7-2.8%). There was a substantial variation in the risk-adjusted ratio among provinces (0.2-3.5), which suggests that the variations in the mortality cannot be completely explained by the differences in patient characteristics. In conclusion, we observed a wide regional variation in mortality for ACS, part of which could be explained by the difference in patient characteristics.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
开心快乐发大财完成签到,获得积分10
1秒前
萌萌哒完成签到,获得积分10
1秒前
小龅牙吖完成签到,获得积分10
1秒前
Propitious完成签到,获得积分10
2秒前
徐先生1106完成签到,获得积分10
2秒前
Epiphany完成签到,获得积分10
3秒前
舒心的久完成签到 ,获得积分10
3秒前
闻巷雨完成签到 ,获得积分10
5秒前
北风完成签到,获得积分10
6秒前
xliiii完成签到,获得积分10
6秒前
时光倒流的鱼完成签到,获得积分10
7秒前
LL完成签到,获得积分10
7秒前
李李完成签到,获得积分20
7秒前
雨无意完成签到,获得积分10
8秒前
盛宇大天才完成签到,获得积分10
10秒前
游戏人间完成签到 ,获得积分10
11秒前
12秒前
科研通AI5应助淡淡的忆彤采纳,获得10
12秒前
早日毕业完成签到,获得积分10
12秒前
Billie完成签到,获得积分10
13秒前
积极行天完成签到,获得积分10
13秒前
98完成签到,获得积分10
14秒前
nkmenghan完成签到,获得积分20
15秒前
韶邑完成签到,获得积分10
15秒前
penzer完成签到 ,获得积分10
16秒前
suwan完成签到,获得积分10
17秒前
张瀚文完成签到 ,获得积分10
20秒前
不吃香菜完成签到 ,获得积分10
22秒前
何日完成签到,获得积分10
24秒前
明天完成签到,获得积分10
24秒前
rrrick完成签到,获得积分10
24秒前
XF发布了新的文献求助10
25秒前
结实乐曲完成签到,获得积分10
25秒前
25秒前
26秒前
顺利紫山完成签到,获得积分10
27秒前
liaodongjun完成签到,获得积分10
28秒前
29秒前
ma完成签到,获得积分10
29秒前
GOW完成签到,获得积分10
30秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038303
求助须知:如何正确求助?哪些是违规求助? 3576013
关于积分的说明 11374210
捐赠科研通 3305780
什么是DOI,文献DOI怎么找? 1819322
邀请新用户注册赠送积分活动 892672
科研通“疑难数据库(出版商)”最低求助积分说明 815029