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(Circulation. 2007;116:1153-1161.)
© 2007 American Heart Association, Inc.
Health Services and Outcomes Research |
24 hours) medications, invasive cardiac procedures, and discharge medications and lifestyle interventions than patients primarily cared for on a noncardiology service. Although the adjusted risk of in-hospital mortality was lower with care provided by a cardiology service, accounting for differences in the use of acute medications and invasive procedures partially attenuated this adjusted mortality difference. The present analysis highlights the difficulties in accurately determining how specialty care is associated with clinical outcomes for patients with acute coronary syndromes and suggests that novel methodologies for evaluating the influence of specialty care on the treatment and outcomes of acute coronary syndrome patients need to be developed.
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