Treatment of acute myocardial infarction in the sub-arctic region of Norway. Do we offer an equal quality of care?

Patients, relatives, healthcare workers and administrators are concerned about the quality of care offered. We aimed to explore the treatment of acute myocatrdial infarction (AMI) in Northern Norway, compare it with the national figures, and document whether there is an equal quality of care or not....

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Bibliographic Details
Published in:International journal of circumpolar health 2017, Vol.76 (1), p.1391651-8
Main Authors: Norum, J., Hovland, A., Balteskard, L., Trovik, T., Haug, B., Hansen, F. H., Alterskjær, S., Madsen, P., Olsen, F.
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Acute myocardial infarction
air ambulance
Ambulance services
Angioplasty
Electrocardiography
Fatalities
Health care delivery
Health sciences: 800
Health service and health administration research: 806
Heart attacks
Helsefag: 800
Helsetjeneste- og helseadministrasjonsforskning: 806
Hospitals
incidence
Intervention
Medical disciplines: 700
Medical treatment
Medisinske Fag: 700
Mortality
Northern communities
Norway
Patients
Quality
Quality of care
service
Systematic review
Task forces
VDP
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Summary:Patients, relatives, healthcare workers and administrators are concerned about the quality of care offered. We aimed to explore the treatment of acute myocatrdial infarction (AMI) in Northern Norway, compare it with the national figures, and document whether there is an equal quality of care or not. The retrospective study included data on patients' treatment for AMI. The following sources were employed. The Norwegian Patient Registry, National Quality of Care Database, Norwegian Myocardial Infarction Registry and data from the National Air Ambulance Services of Norway. The period 2012-2014/15 was studied and the variables were: incidence of AMI, gender and age adjusted rates of AMI and revascularization (PCI, CABG) based on patient's place of living (according to hospital catchment area) and 30-day survival rate. The annual incidence of AMI was 9% higher in the northern region. Significant incidence variations (2.7-5.9 AMI/1000 inhabitants) between the hospitals' catchment areas were revealed. The 30-day survival rate varied between 85.1-92.1% between hospitals. The variation in revascularization/AMI rate was 0.72-1.54. Air amublance services' availability varied through the day. In conclusion, significant variations in the AMI rate and an unequal service within the region was revealed.
ISSN:2242-3982
1239-9736
2242-3982
DOI:10.1080/22423982.2017.1391651