The retrospective study looked at Medicare Part B spending for patients admitted due to a medical condition and treated by either a hospitalist or a general internist.
Overall the hospitals were significantly better at meeting door-to-balloon time goals than those for door-to-needle time and performance ranged more widely among hospitals on the latter measure.
After coronary artery bypass graft surgery, 30-day all-cause mortality was 1.7% in patients who took statins 24 hours or less before the operation, compared to 2.9% for those who took them 24 to 72 hours before and 3.8% for those who did not take them or whose last dose was more than 72 hours before surgery.
The group continues to suggest that supplementation is reasonable for secondary prevention of coronary heart disease (CHD) in patients with a recent CHD event and added a new recommendation for patients with heart failure with reduced left ventricular function.
Physician editor: A. Scott Keller, MD, FACP