Cause of death in Washington state veterans hospitalized with acute coronary syndromes in the veterans health administration

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Cause of death in Washington state veterans hospitalized with acute coronary syndromes in the veterans health administration

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dc.contributor.author Maynard, Charles en_US
dc.contributor.author Lowy, Elliott en_US
dc.contributor.author McDonell, Mary en_US
dc.contributor.author Fihn, Stephan D. en_US
dc.date.accessioned 2010-04-21T15:57:53Z
dc.date.available 2010-04-21T15:57:53Z
dc.date.issued 2008 en_US
dc.identifier.citation Maynard C, Lowy E, McDonell M, Fihn S. Cause of death in Washington state veterans hospitalized with acute coronary syndromes in the veterans health administration. Population Health Metrics. 2008;6(1):3. en_US
dc.identifier.other 10.1186/1478-7954-6-3 en_US
dc.identifier.uri http://www.pophealthmetrics.com/content/6/1/3 en_US
dc.identifier.uri http://hdl.handle.net/1773/15789
dc.description.abstract Background: In the United States, relatively little is known about cause of death in individuals who die prior to or after hospital discharge for acute coronary syndromes (ACS). The purpose of this report was to compare baseline patient characteristics according to whether the underlying cause of death was cardiac or non-cardiac. Methods: We linked cause of death information from Washington State death records to the Department of Veterans Affairs (VA) External Peer Review Program ACS registry. From 524 individuals who were hospitalized for ACS in veterans hospitals located in Washington State or Oregon, we identified 136 individuals who according to VA death records died during the years 2003 to 2005. Of these, 117 (86%) were found in Washington State death records. Sociodemographic variables, as well as underlying and secondary causes of death, were obtained from Washington State death records provided by the Washington State Department of Health. Clinical variables, including medical histories, presentation on admission, and in-hospital death were extracted from the VA ACS registry. Results: Somewhat surprisingly, only 52% of veterans died of cardiac causes when only the underlying cause of death was used. However, when secondary causes of death were added to the definition, the proportion that died of cardiac causes increased to 81%. Patient characteristics were similar in the two groups, although small numbers limited the ability to detect statistically significant differences. Conclusion: These preliminary findings suggest that it is important to consider secondary causes as well as the underlying one when classifying deaths as cardiac or non-cardiac. en_US
dc.description.sponsorship This work was supported by a grant from the Department of Veterans Affairs Quality Enhancement Research Initiative. en_US
dc.language.iso en_US en_US
dc.title Cause of death in Washington state veterans hospitalized with acute coronary syndromes in the veterans health administration en_US
dc.type Article en_US


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