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Cardiovascular Procedures in Patients With Mental Disorders
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To the Editor: In their study of the association of mental disorders with use of cardiovascular procedures after myocardial infarction, Dr Druss and colleagues1 conclude that elderly patients (aged 65 years and older) with mental illness are less likely to undergo coronary artery catheterization or revascularization than those without mental illness. We conducted a study to determine whether these findings can be generalized to patients of all ages.
We used information from the Healthcare Investment Analysts(HCIA)-Sachs 1998 projected inpatient database,2 an all-payer database that contains data from more than 40% of US inpatient discharges. Our cohort included 354,195 patients with a principal diagnosis of acute myocardial infarction, of whom 143,421 (40.5%) were younger than 65 years. Using definitions similar to those used by Druss et al, we identified 25,237 patients (7.1%) with mental illness.
Using methods similar to Druss et al, we modeled the likelihood of undergoing cardiac catheterization, percutaneous . . . [Full Text of this Article]
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