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Correspondence
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Volume 357:85-88 July 5, 2007 Number 1
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Weekend Admission for Myocardial Infarction

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by Kostis, W. J.
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To the Editor: Kostis et al. (March 15 issue),1 who report that mortality among patients admitted for acute myocardial infarction is higher on weekends than on weekdays, provide strong evidence that this finding may be due to a lack of invasive cardiac services on weekends. However, if hospitals that lacked the ability to provide these services on weekends also tended to lack other important characteristics influencing mortality (e.g., the staffing of superior nurses or better cardiac surgeons), then the apparent association of lower rates of invasive cardiac services on the weekends with higher mortality may be a spurious one. The . . . [Full Text of this Article]



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