Impact of Board-Certified Cardiologist Characteristics on Risk of In-Hospital Mortality

• Watanabe Mika

  Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine

• Yoneyama Kihei

  Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine

• Nakai Michikazu

  National Cerebral and Cardiovascular Center

• Kanaoka Koshiro

  Department of Cardiovascular Medicine, Nara Medical University

• Okayama Satoshi

  Department of Cardiovascular Medicine, Nara Medical University

• Nishimura Kunihiro

  National Cerebral and Cardiovascular Center

• Miyamoto Yoshihiro

  National Cerebral and Cardiovascular Center

• Izumo Masaki

  Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine

• Ishibashi Yuki

  Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine

• Higuma Takumi

  Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine

• Harada Tomoo

  Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine

• Yasuda Satoshi

  National Cerebral and Cardiovascular Center

• Murohara Toyoaki

  Department of Cardiology, Nagoya University Graduate School of Medicine

• Saito Yoshihiko

  Department of Cardiovascular Medicine, Nara Medical University

• Akashi Yoshihiro J.

  Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine

抄録

Background:This study examined the influence of board-certified cardiologist characteristics on the in-hospital mortality of patients with cardiovascular disease. Methods and Results:Data were collected between 2012 and 2014 from a nationwide database of acute care hospitals in Japan. Overall, there were 1,422,703 patients, of whom 883,746 were analyzed. The primary outcome was all-cause in-hospital mortality. The association between board-certified cardiologist characteristics and in-hospital mortality was estimated using multilevel mixed-effect logistic regression modeling. Median age of cardiologists in a hospital was not related to in-hospital mortality (OR, 1.003; 95% CI: 0.998–1.008, P=0.316), but a greater cardiologist age range was associated with a lower risk of in-hospital mortality (OR, 0.992; 95% CI: 0.988–0.995 per 1-unit increment in age range, P<0.001). Meanwhile, the average years of experience of the board-certified cardiologists in a hospital was not associated with a lower risk of in-hospital mortality (OR, 1.002; 95% CI: 0.996–1.007, P=0.525), but a greater range of years of experience was (OR, 0.986; 95% CI: 0.983–0.990 per 1-unit increment in range of years of experience, P<0.001). Conclusions:Median board-certified cardiologist age/experience at an institution is not related to in-hospital mortality, but a greater range in age/experience is associated with a lower risk of mortality.

収録刊行物

• Circulation Reports

  Circulation Reports 2 (1), 44-50, 2020-01-10

  一般社団法人 日本循環器学会

キーワード

• Board-certified cardiologist
• Cardiovascular disease
• In-hospital mortality

詳細情報

• CRID: 1390002184862343296
• NII論文ID: 130007784345
• DOI: 10.1253/circrep.cr-19-0065
• ISSN: 24340790
• Web Site: https://www.jstage.jst.go.jp/article/circrep/2/1/2_CR-19-0065/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2020341987
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可