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Hospitalization outcome of heart diseases between patients who received medical care by cardiologists and non-cardiologist physicians: A propensity-score matched study

BACKGROUND AND AIMS: The effects of physician specialty on the outcome of heart disease remains incompletely understood because of inconsistent findings from some previous studies. Our purpose is to compare the admission outcomes of heart disease in patients receiving care by cardiologists and nonca...

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Autores principales: Wu, Yu-Ming, Liu, Chih-Chung, Yeh, Chun-Chieh, Sung, Li-Chin, Lin, Chao-Shun, Cherng, Yih-Giun, Chen, Ta-Liang, Liao, Chien-Chang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338078/
https://www.ncbi.nlm.nih.gov/pubmed/32629459
http://dx.doi.org/10.1371/journal.pone.0235207
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author Wu, Yu-Ming
Liu, Chih-Chung
Yeh, Chun-Chieh
Sung, Li-Chin
Lin, Chao-Shun
Cherng, Yih-Giun
Chen, Ta-Liang
Liao, Chien-Chang
author_facet Wu, Yu-Ming
Liu, Chih-Chung
Yeh, Chun-Chieh
Sung, Li-Chin
Lin, Chao-Shun
Cherng, Yih-Giun
Chen, Ta-Liang
Liao, Chien-Chang
author_sort Wu, Yu-Ming
collection PubMed
description BACKGROUND AND AIMS: The effects of physician specialty on the outcome of heart disease remains incompletely understood because of inconsistent findings from some previous studies. Our purpose is to compare the admission outcomes of heart disease in patients receiving care by cardiologists and noncardiologist (NC) physicians. METHODS: Using reimbursement claims data of Taiwan’s National Health Insurance from 2008–2013, we conducted a matched study of 6264 patients aged ≥20 years who received a cardiologist’s care during admission for heart disease. Using a propensity score matching procedure adjusted for sociodemographic characteristics, medical condition, and type of heart disease, 6264 controls who received an NC physician’s care were selected. Logistic regressions were used to calculate odds ratios (ORs) with 95% confidence intervals (CIs) for complications and mortality during admission for heart disease associated with a cardiologist’s care. RESULTS: Patients who received a cardiologist’s care had a lower risk of pneumonia (OR = 0.61; 95% CI, 0.53–0.70), septicemia (OR = 0.49; 95% CI, 0.39–0.61), urinary tract infection (OR = 0.76; 95% CI, 0.66–0.88), and in-hospital mortality (OR = 0.37; 95% CI, 0.29–0.47) than did patients who received an NC physician’s care. The association between a cardiologist’s care and reduced adverse events following admission was significant in both sexes and in patients aged ≥40 years. CONCLUSION: We raised the possibility that cardiologist care was associated with reduced infectious complications and mortality among patients who were admitted due to heart disease.
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spelling pubmed-73380782020-07-16 Hospitalization outcome of heart diseases between patients who received medical care by cardiologists and non-cardiologist physicians: A propensity-score matched study Wu, Yu-Ming Liu, Chih-Chung Yeh, Chun-Chieh Sung, Li-Chin Lin, Chao-Shun Cherng, Yih-Giun Chen, Ta-Liang Liao, Chien-Chang PLoS One Research Article BACKGROUND AND AIMS: The effects of physician specialty on the outcome of heart disease remains incompletely understood because of inconsistent findings from some previous studies. Our purpose is to compare the admission outcomes of heart disease in patients receiving care by cardiologists and noncardiologist (NC) physicians. METHODS: Using reimbursement claims data of Taiwan’s National Health Insurance from 2008–2013, we conducted a matched study of 6264 patients aged ≥20 years who received a cardiologist’s care during admission for heart disease. Using a propensity score matching procedure adjusted for sociodemographic characteristics, medical condition, and type of heart disease, 6264 controls who received an NC physician’s care were selected. Logistic regressions were used to calculate odds ratios (ORs) with 95% confidence intervals (CIs) for complications and mortality during admission for heart disease associated with a cardiologist’s care. RESULTS: Patients who received a cardiologist’s care had a lower risk of pneumonia (OR = 0.61; 95% CI, 0.53–0.70), septicemia (OR = 0.49; 95% CI, 0.39–0.61), urinary tract infection (OR = 0.76; 95% CI, 0.66–0.88), and in-hospital mortality (OR = 0.37; 95% CI, 0.29–0.47) than did patients who received an NC physician’s care. The association between a cardiologist’s care and reduced adverse events following admission was significant in both sexes and in patients aged ≥40 years. CONCLUSION: We raised the possibility that cardiologist care was associated with reduced infectious complications and mortality among patients who were admitted due to heart disease. Public Library of Science 2020-07-06 /pmc/articles/PMC7338078/ /pubmed/32629459 http://dx.doi.org/10.1371/journal.pone.0235207 Text en © 2020 Wu et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Wu, Yu-Ming
Liu, Chih-Chung
Yeh, Chun-Chieh
Sung, Li-Chin
Lin, Chao-Shun
Cherng, Yih-Giun
Chen, Ta-Liang
Liao, Chien-Chang
Hospitalization outcome of heart diseases between patients who received medical care by cardiologists and non-cardiologist physicians: A propensity-score matched study
title Hospitalization outcome of heart diseases between patients who received medical care by cardiologists and non-cardiologist physicians: A propensity-score matched study
title_full Hospitalization outcome of heart diseases between patients who received medical care by cardiologists and non-cardiologist physicians: A propensity-score matched study
title_fullStr Hospitalization outcome of heart diseases between patients who received medical care by cardiologists and non-cardiologist physicians: A propensity-score matched study
title_full_unstemmed Hospitalization outcome of heart diseases between patients who received medical care by cardiologists and non-cardiologist physicians: A propensity-score matched study
title_short Hospitalization outcome of heart diseases between patients who received medical care by cardiologists and non-cardiologist physicians: A propensity-score matched study
title_sort hospitalization outcome of heart diseases between patients who received medical care by cardiologists and non-cardiologist physicians: a propensity-score matched study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338078/
https://www.ncbi.nlm.nih.gov/pubmed/32629459
http://dx.doi.org/10.1371/journal.pone.0235207
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