Letters

Progress in reducing inpatient mortality from acute myocardial infarction is slow

BMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7120.1462 (Published 29 November 1997) Cite this as: BMJ 1997;315:1462
  1. C David Naylor, Chief executive officera,
  2. Jack V Tu, Scientista
  1. a Institute for Clinical Evaluative Sciences, University of Toronto, 2075 Bayview Avenue, North York, Ontario M4N 3M5, Canada

    Editor—Brown et al report a substantial increase in the use of beneficial interventions for patients admitted to hospital with acute myocardial infarction in Nottingham from 1982 to 1992.1 However, they found no change in inpatient mortality adjusted for age and sex. This contrasts with findings in Ontario, Canada, where hospital discharge abstracts show that inpatient mortality fell from 1981 to 19912 and has since fallen further (data on request). Brown et al suggest that the disparate results may reflect coding errors …

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