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Unnecessary hospital stay after heart attack common in European countries

low-risk patients exists in all countries investigated, but was especially evident in the European countries included in the study."

Discussing the UK perspective, Adam Timmis and colleagues from London's Chest Hospital conclude in an accompanying Commentary (p 502): "The management of acute myocardial infarction and other high-risk coronary syndromes is moving increasingly towards percutaneous intervention at admission or in the first 24 h. At present, resources in the UK, in terms of catheter laboratories and trained interventional staff, are insufficient to meet this standard of care, with the result that many high-risk patients stay in hospital even longer than those reported on by Kaul and colleagues, while they wait for catheter laboratory access. With adequate resources, however, primary angioplasty and stenting, which will unify hospital management under a cardiological team, could improve still further the cost effectiveness of early discharge for acute myocardial infarction. Such models for day 3 discharge in uncomplicated cases have been suggested."


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Contact: Joe Santangelo
j.santangelo@elsevier.com
212-633-3810
Lancet
12-Feb-2004


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