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European Heart Journal 2003 24(18):1613-1615; doi:10.1016/S0195-668X(03)00434-2
Copyright © 2003 by the European Society of Cardiology.
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Editorial

Early hospital discharge after uncomplicated myocardial infarction: are further improvements possible?

Daniel B Marka,* and L. Kristin Newbyb

a Outcomes Research and Assessment Group, Duke Clinical Research Institute, Durham, NC USA
b Duke Clinical Research Institute, Durham, NC USA

* Corresponding author. Daniel B. Mark, MD, MPH, Professor of Medicine, Duke Clinical Research Institute, 2400 Pratt Avenue, Room 0311, Durham, NC 27705, PO Box 17969, Durham, NC 27715 USA. Tel.: +1-919-668-8775; fax: +1-919-668-7060
E-mail address: daniel.mark@duke.edu

Received 14 July 2003; accepted 14 July 2003

The first 150 words of the full text of this article appear below.

See doi:10.1016/S1095-668X(03)00308-7for the article to which this editorial refers

Early hospital discharge after uncomplicated acute myocardial infarction (MI) has been a focus of substantial clinical and research interest for over 25 years. Length of stay for acute MI, as for most medical conditions, is more a product of historical precedent than medical evidence. The search for ever shorter hospital stays is motivated by a desire of health care payers to save money and is supported by the belief that some fraction of the conventional hospitalization represents inefficient, ‘flat of the curve’ medical care. In other words, care with no measurable incremental clinical benefit but considerable incremental expense. In a recent analysis, for example, we estimated that extending the hospital stay beyond day 3 for uncomplicated acute MI patients saved an additional 0.006 years of life per day.1The corresponding cost per year-of-life saved was over US$100 000. Adding impetus to . . . [Full Text of this Article]


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