Coronary care in New York City hospitals

M. Berger, H. S. Friedman, L. M. Gerber, M. Greenberg, Benjamin D Levine, M. B. Mirsky, C. H. Nacht, C. Sheppard

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Abstract

New York City, with six medical schools and an elaborate emergency medical system, would appear to be a locale with optimal resources for coronary care. To assess coronary care facilities and practices, a comprehensive questionnaire was prepared by a multidisciplinary committee and submitted to 72 hospitals. Seventy-nine percent (57/72) responded, including all medical school affiliated hospitals and 41 of the 45 with more than 300 beds. Twenty-nine percent (16/55) did not have a coronary care unit separate from a general intensive care unit. Thirty-three percent (18/55) of coronary care units were designed before 1970. Although 85% (46/54) of the coronary care units had a 1:2 registered nurse per patient ratio during days, only 43% (23/54) maintained this ratio at night. Central monitoring was available in all hospitals, but only 40% (21/52) indicated 24-hour continuous monitor observation. Forty-five percent (25/55) had cardiac catheterization facilities, and 43% (24/56) had an intra-aortic balloon available. Forty-six percent (26/57) of coronary care units transferred post-myocardial infarction patients to non-monitored general beds. Fifty-eight percent (31/53) offered dietary counseling to patients, and 33% (18/54) had an inpatient cardiac rehabilitation program. Thus, New York City hospitals demonstrate a marked variability in coronary care unit facilities and practices and a substantial number of hospitals deviate from published recommendations for coronary care units.

Original languageEnglish (US)
Pages (from-to)199-205
Number of pages7
JournalNew York State Journal of Medicine
Volume89
Issue number4
Publication statusPublished - Jan 1 1989
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

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Berger, M., Friedman, H. S., Gerber, L. M., Greenberg, M., Levine, B. D., Mirsky, M. B., ... Sheppard, C. (1989). Coronary care in New York City hospitals. New York State Journal of Medicine, 89(4), 199-205.