Findings from a new study suggests hospital mortality rankings for older patients with acute myocardial infarction (AMI) inconsistently reflect rankings for younger patients. Publicly reported hospital risk-standardized mortality rates (RSMRs) for AMI are calculated for Medicare beneficiaries. Outcomes for older patients with AMI may not reflect general outcomes. The study sought to examine the relationship between hospital 30-day RSMRs for older patients (aged ≥65 years) and those for younger patients (aged 18 to 64 years) and all patients (aged ≥18 years) with AMI. The study concludes the incorporation of younger patients into assessment of hospital outcomes would permit further examination of the presence and effect of age-related quality differences.
- Age Differences in Hospital Mortality for Acute Myocardial Infarction: Implications for Hospital Profiling. Annals of Internal Medicine. 26 September 2017.