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Cardiac Care Units

Cardiac Care Units To the Editor.— Frieden and Cooper (235:816,1976) stated that "recent experiences with monitored cardiac care units have demonstrated that mortality can be reduced in the first few days after an acute myocardial infarction." However, critical review of articles on coronary care units fails to confirm a properly designed trial that supports that statement. Adler et al (Br Med Bull 30:242, 1974), in a review dealing with research on medical care, point out: Mortality within most coronary care units has declined over the years, but there has also been a parallel reduction in mortality in patients suffering from myocardial infarction, who are nursed in conventional wards (MacMillan & Brown, 1971). There is no evidence that hospitals play any part in altering the total picture of the disease. In fact, the first randomized controlled trial comparing home care vs that in cardiac care units (Mather et al cited by Adler et al http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Cardiac Care Units

JAMA , Volume 236 (13) – Sep 27, 1976

Cardiac Care Units

Abstract



To the Editor.—
Frieden and Cooper (235:816,1976) stated that "recent experiences with monitored cardiac care units have demonstrated that mortality can be reduced in the first few days after an acute myocardial infarction." However, critical review of articles on coronary care units fails to confirm a properly designed trial that supports that statement. Adler et al (Br Med Bull 30:242, 1974), in a review dealing with research on medical care, point out:
Mortality within...
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Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1976.03270140015003
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— Frieden and Cooper (235:816,1976) stated that "recent experiences with monitored cardiac care units have demonstrated that mortality can be reduced in the first few days after an acute myocardial infarction." However, critical review of articles on coronary care units fails to confirm a properly designed trial that supports that statement. Adler et al (Br Med Bull 30:242, 1974), in a review dealing with research on medical care, point out: Mortality within most coronary care units has declined over the years, but there has also been a parallel reduction in mortality in patients suffering from myocardial infarction, who are nursed in conventional wards (MacMillan & Brown, 1971). There is no evidence that hospitals play any part in altering the total picture of the disease. In fact, the first randomized controlled trial comparing home care vs that in cardiac care units (Mather et al cited by Adler et al

Journal

JAMAAmerican Medical Association

Published: Sep 27, 1976

There are no references for this article.