| Comparison of hospital and patients characteristics with their outcomes has become extremely important in the present health care marketplace given the rising costs of hospital and decrease of quality of care at many hospitals. Little is known about the outcomes of hospital inpatients with both MI (Myocardial Infarction) and T2D (Type 2 Diabetes). This study examined outcomes of patients with diabetic myocardial infarction in non federal hospitals using 2006 Nationwide Inpatient Sample, Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality. There was a significant disparity between gender and patient insurance, X2 (1, N = 1480) = 1.598, p < .001. Male inpatients had more major procedures than their female counterparts, X2 (1, N = 2127) = 134.32, p < .001. More females died than expected, X2 (1, N = 2771) = 23.12, p < .001. The adjusted linear regression was highly significant for age (B = .035, p < .001), gender (B = .004, p < .001), and Medicaid (B = .052, p < .016) when compared to Medicare. Older patients within the age group (59 -- 84) had longer Length of Stay (LOS), more transfers and higher mortality rate. Patient transfer to short term hospital (B = -.127, p < .001) and another nursing care facility (B = .132, p < .001) were significant when compared to routine discharge. Other variables that have significant impact are congestive heart failure (B = -.030, p < .020) when compared to atherosclerosis; ventricular fibrillation (B = .185, p < .001), and cardiac arrest (B = .522, p < .001) when compared to atrial fibrillation. MI severity predictors were highly significant for cardiogenic shock (B = .271, p < .001), while treatment procedure predictors were significant for angiogram (B = -.055, p < .004), cardiac catheterization (B = -.094, p < .001), and balloon implant (B = .128, p < .012) when compared to Percutaneous Transluminal Coronary Angiogram. Diabetics are to be screened for complications on admission. Equity in care needs considerations in the formulation of National policies and programs to improve healthcare quality of inpatients with MI and T2D. |
