Influence of primary payer status on the management and outcomes of ST-segment elevation myocardial infarction in the United States

Saraschandra Vallabhajosyula, Vinayak Kumar, Pranathi R Sundaragiri, Wisit Cheungpasitporn, Malcolm R Bell, Mandeep Singh, Allan S Jaffe and Gregory W Barsness

PLOS ONE, 2020, vol. 15, issue 12, 1-15

Abstract: Background: There are limited contemporary data on the influence of primary payer status on the management and outcomes of ST-segment elevation myocardial infarction (STEMI). Objective: To assess the influence of insurance status on STEMI outcomes. Methods: Adult (>18 years) STEMI admissions were identified using the National Inpatient Sample database (2000–2017). Expected primary payer was classified into Medicare, Medicaid, private, uninsured and others. Outcomes of interest included in-hospital mortality, use of coronary angiography and percutaneous coronary intervention (PCI), hospitalization costs, hospital length of stay and discharge disposition. Results: Of the 4,310,703 STEMI admissions, Medicare, Medicaid, private, uninsured and other insurances were noted in 49.0%, 6.3%, 34.4%, 7.2% and 3.1%, respectively. Compared to the others, the Medicare cohort was older (75 vs. 53–57 years), more often female (46% vs. 20–36%), of white race, and with higher comorbidity (all p

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0243810

DOI: 10.1371/journal.pone.0243810

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