Trends in discharge claims for acute myocardial infarction among patients on dialysis

Gautam R. Shroff, Shuling Li, Charles A. Herzog

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Analysis of a contemporary cohort of patients on dialysis revealed that mortality from acute myocardial infarction (AMI) has decreased, whereas the prevalence of AMI has increased markedly, particularly among patients with non-ST elevation myocardial infarction (NSTEMI). Using inpatient discharge diagnosis codes (1993- 2008), we determined that proportions of AMI claims decreased in the primary position (from 65% to 52%) but increased in the secondary position (from 35% to 48%). Proportions of NSTEMI codes increased remarkably in both the primary and secondary positions. The progressive increase in diagnostic claims for secondary AMI identifies a unique high-risk population and has important clinical, economic, and epidemiologic implications among patients on dialysis.

Original languageEnglish (US)
Pages (from-to)1379-1383
Number of pages5
JournalJournal of the American Society of Nephrology
Volume28
Issue number5
DOIs
StatePublished - May 2017

Bibliographical note

Funding Information:
This study was supported by the Chronic Disease Research Group, Minneapolis Med ical Research Foundation.

Publisher Copyright:
© 2017 by the American Society of Nephrology.

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