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Neplyueva G.A.

Almazov National Medical Research Centre

Soloveva A.E.

Almazov National Medical Research Centre

Krivopolenova S.D.

Almazov National Medical Research Centre

Bespalov A.V.

Almazov National Medical Research Centre

Zvartau N.E.

Almazov National Medical Research Centre

Villevalde S.V.

Almazov National Medical Research Centre

Konradi A.O.

Almazov National Medical Research Centre

The relationship between the specialized hospitals and departments medical doctors provision with myocardial infraction and cerebral stroke lethality

Authors:

Neplyueva G.A., Soloveva A.E., Krivopolenova S.D., Bespalov A.V., Zvartau N.E., Villevalde S.V., Konradi A.O.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2024;27(7): 30‑37

DOI: 10.17116/profmed20242707130

Read: 1416 times

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Table of contents

THE RELATIONSHIP BETWEEN THE SPECIALIZED HOSPITALS AND DEPARTMENTS MEDICAL DOCTORS PROVISION WITH MYOCARDIAL INFRACTION AND CEREBRAL STROKE LETHALITY
THE RELATIONSHIP BETWEEN THE SPECIALIZED HOSPITALS AND DEPARTMENTS MEDICAL DOCTORS PROVISION WITH MYOCARDIAL INFRACTION AND CEREBRAL STROKE LETHALITY

To cite this article:

Neplyueva GA, Soloveva AE, Krivopolenova SD, Bespalov AV, Zvartau NE, Villevalde SV, Konradi AO. The relationship between the specialized hospitals and departments medical doctors provision with myocardial infraction and cerebral stroke lethality. Russian Journal of Preventive Medicine. 2024;27(7):30‑37. (In Russ.)
https://doi.org/10.17116/profmed20242707130

Подписка 2026 Профилактическая медицина (Russian Journal of Preventive Medicine)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Myocardial infarction (MI) and acute cerebrovascular accident (ACVA) are common causes of morbidity and mortality over the world. This determines the relevance of searching for factors associated with adverse outcomes in the specified conditions. There is a lack of data on the influence of staff resources in medical organizations on mortality from MI and ACVA.

OBJECTIVE

To analyze the accociations of parameters between hospital mortality from MI and ACVA with staffing.

MATERIAL AND METHODS

The data on the number of specialists and calculated parameters of mortality from the forms of federal statistical observation №30 «Information about the medical organization» and №14 «Information about the activity of the medical organization providing medical care in hospital conditions» were considered. Two regression models were used in statistical analysis to evaluate associations between parameters. Results appearing in both models were considered statistically significant at p<0.05.

RESULTS

The mortality from MI was associated with an increase in bed capacity per cardiologist (coefficient 3.405, p<0.001), and higher mortality from ACVA was related to a smaller number of all doctors in hospital (coefficient –0.009, p<0.016) in two regression models of different types.

CONCLUSION

The higher number of patients per cardiologist is independently associated with the increased mortality from myocardial infarction. The mortality from acute cerebrovascular accident is related to decreased number of doctors in hospital.

Keywords:

mortality
myocardial infarction
acute cerebrovascular accident
cardiologist
staffing
staff resources

Authors:

Neplyueva G.A.

Almazov National Medical Research Centre

Soloveva A.E.

Almazov National Medical Research Centre

Krivopolenova S.D.

Almazov National Medical Research Centre

Bespalov A.V.

Almazov National Medical Research Centre

Zvartau N.E.

Almazov National Medical Research Centre

Villevalde S.V.

Almazov National Medical Research Centre

Konradi A.O.

Almazov National Medical Research Centre

Received:

22.03.2024

Accepted:

27.04.2024

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References:

  1. Salari N, Morddarvanjoghi F, Abdolmaleki A, et al. The global prevalence of myocardial infarction: a systematic review and meta-analysis. BMC Cardiovascular Disorders. 2023;23:206.  https://doi.org/10.1186/s12872-023-03231-w
  2. GBD 2019 Stroke Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology. 2021;20(10):795-820.  https://doi.org/10.1016/s1474-4422(21)00252-0
  3. Prikaz Ministerstva zdravooxraneniya Rossijskoj Federacii ot 15 noyabrya 2012 g. №918n «Ob utverzhdenii Poryadka okazaniya medicinskoj pomoshhi bol`ny`m s serdechno-sosudisty`mi zabolevaniyami». Accessed May 20, 2024. (In Russ.). https://base.garant.ru/70299174/?ysclid=lwg4m8fa9a691860390
  4. Prikaz Ministerstva zdravooxraneniya Rossijskoj Federacii ot 15 noyabrya 2012 g. №928n «Ob utverzhdenii Poryadka okazaniya medicinskoj pomoshhi bol`ny`m s ostry`mi narusheniyami mozgovogo krovoobrashheniya». Accessed May 20, 2024. (In Russ.). https://base.garant.ru/70334856/?ysclid=lwg4voym3p490542812
  5. Neplyueva GA, Solovieva AE, Zaitsev VV, et al. Comparative benchmark analysis of coverage by specialists involved in healthcare provision to patients with cardiovascular diseases in the regions of the Northwestern Federal District. Rossijskij kardiologicheskij zhurnal. 2022;27(2S):4950. (In Russ.). https://doi.org/10.15829/1560-4071-2022-4950
  6. Yoneyama K, Kanaoka K, Okayama S, et al. Association between the number of board-certified cardiologists and the risk of in-hospital mortality: a nationwide study involving the Japanese registry of all cardiac and vascular diseases. BMJ Open. 2019;9(12):e024657. https://doi.org/10.1136/bmjopen-2018-024657
  7. Matsui H, Koike S, Fushimi K, et al. Effect of neurologic specialist staffing on 30-day-in-hospital mortality after cerebral infarction. Annals of Clinical Epidemiology. 2019;1(3):86-94.  https://doi.org/10.37737/ace.1.3_86
  8. Jollis JG, Granger CB, Zègre-Hemsey JK, et al. Treatment Time and In-Hospital Mortality Among Patients With ST-Segment Elevation Myocardial Infarction, 2018-2021. Journal of the American Medical Association. 2022; 328(20):2033-2040. https://doi.org/10.1001/jama.2022.20149
  9. Chehab O, Qannus A S, Eldrirani M, et al. Predictors of In-Hospitals Mortality in Patients Admitted with Acute Myocardial Infarction in a Developing Country. Cardiology research. 2018;9(5):293-299.  https://doi.org/10.14740/cr772w
  10. Gawinski L, Burzynska M, Marczak M, et al. Assessment of In-Hospital Mortality and Its Risk Factors in Patients with Myocardial Infarction Considering the Logistical Aspects of the Treatment Process — A Single-Center, Retrospective, Observational Study. International Journal of Environmental Research and Public Health. 2023;20(4):3603. https://doi.org/10.3390/ijerph20043603
  11. Dégano IR, Subirana I, Fusco D, et al. Percutaneous coronary intervention reduces mortality in myocardial infarction patients with comorbidities: Implications for elderly patients with diabetes or kidney disease. International Journal of Cardiology. 2017;15(249):83-89.  https://doi.org/10.1016/j.ijcard.2017.07.054
  12. McNamara RL, Kennedy KF, Cohen DJ, et al. Predicting In-Hospital Mortality in Patients with Acute Myocardial Infarction. Journal of the American College of Cardiology. 2016;68(6):626-635.  https://doi.org/10.1016/j.jacc.2016.05.049
  13. Ranasinghe VS, Pathirage M, Gawarammana IB. Predictors of in-hospital mortality in stroke patients. PLOS Global Public Health. 2023;3(2):e0001278. https://doi.org/10.1371/journal.pgph.0001278
  14. Kortazar-Zubizarreta I, Pinedo-Brochado A, Azkune-Calle I, et al. Predictors of in-hospital mortality after ischemic stroke: A prospective, single-center study. Health Science Reports. 2019;2(4):e110. https://doi.org/10.1002/hsr2.110
  15. Sasaki K, Koeda Y, Yoshizawa R, et al. Comparing In-Hospital Outcomes for Acute Myocardial Infarction Patients in High-Volume Hospitals Performing Primary Percutaneous Coronary Intervention vs. Regional General Hospitals. Circulation Journal. 2023;87(10):1347-1355. https://doi.org/10.1253/circj.CJ-23-0188
  16. Loccoh EC, Maddox KEJ, Wang Y, et al. Rural-urban disparities in outcomes of myocardial infarction, heart failure, and stroke in the United States. Journal of the American College of Cardiology. 2022;79:267-279.  https://doi.org/10.1016/j.jacc.2021.10.045
  17. Ishii M, Tsujita K, Okamoto H, et al. Resources for cardiovascular healthcare associated with 30-day mortality in acute myocardial infarction with cardiogenic shock. European Heart Journal Open. 2021;00:1-14.  https://doi.org/10.1093/ehjopen/oeab047
  18. Kanaoka K, Okayama S, Nakai M, et al. Number of Cardiologists per Cardiovascular Beds and In-Hospital Mortality for Acute Heart Failure: A Nationwide Study in Japan. Journal American Heart Association. 2019;8(18):1-11.  https://doi.org/10.1161/JAHA.119.012282
  19. Tsugawa Y, Kumamaru H, Yasunaga H, et al. The Association of Hospital Volume with Mortality and Costs of Care for Stroke in Japan. Medical Care. 2013;51(9):782-788.  https://doi.org/10.1097/MLR.0b013e31829c8b70
  20. Metsui H, Koike S, Fushimi K, et al. Effect of neurologic specialist staffing on 30-day in-hospital mortality after cerebral infarction. Journal of Clinical Epidemiology. 2019;1(3):86-94.  https://doi.org/10.37737/ace.1.3_86
  21. Nishimura K, Ogasawara K, Kitazono T. et al. Impact of Physician Volume and Specialty on In-Hospital Mortality of Ischemic and Hemorrhagic Stroke. Circulation Journal. 2021;85:1876-1884. https://doi.org/10.1253/circj.CJ-20-1214
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