{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T11:40:13Z","timestamp":1779190813595,"version":"3.51.4"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T00:00:00Z","timestamp":1620777600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>Little is known about the association between admitting physician specialty and care quality and outcomes for non-ST-segment elevation myocardial infarction (NSTEMI).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>We identified 288\u2009420 patients hospitalized with NSTEMI between 2010 and 2017 in the UK Myocardial Infarction National Audit Project database. The cohort was dichotomized according to care under a non-cardiologist (n\u2009=\u2009146\u2009722) and care under a cardiologist (n\u2009=\u2009141\u2009698) within the first 24\u2009h of admission to hospital. Patients admitted under a cardiologist were significantly younger (70 vs. 75\u2009years, P\u2009&amp;lt;\u20090.001), and less likely to be female (32% vs. 39%, P\u2009&amp;lt;\u20090.001). Independent factors associated with admission under a cardiologist included prior history of percutaneous coronary intervention (PCI) [odds ratio (OR) 1.04, 95% confidence interval (CI) 1.01\u20131.07; P\u2009=\u20090.04], hypercholesterolaemia (OR 1.17, 95% CI 1.15\u20131.20; P\u2009&amp;lt;\u20090.001), hypertension (OR 1.03, 95% CI 1.01\u20131.04; P\u2009=\u20090.01), and admission to an interventional centre (OR 3.90, 95% CI 3.79\u20134.00; P\u2009&amp;lt;\u20090.001). Patients admitted under cardiology were more likely to receive optimal pharmacotherapy, undergo invasive coronary angiography (79% vs. 60%, P\u2009&amp;lt;\u20090.001), and receive revascularization in the form of PCI (52% vs. 36%, P\u2009&amp;lt;\u20090.001). Following propensity score matching, odds of in-hospital all-cause mortality (OR 0.81, 95% CI 0.79\u20130.85; P\u2009&amp;lt;\u20090.001), re-infarction (OR 0.78, 95% CI 0.66\u20130.91; P\u2009=\u20090.001), and major adverse cardiovascular events (OR 0.81, 95% CI 0.78\u20130.84; P\u2009&amp;lt;\u20090.001) were lower in patients admitted under a cardiologist.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Patients with NSTEMI admitted under a cardiologist within 24\u2009h of hospital admission were more likely to receive guideline-directed management and had better clinical outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjqcco\/qcab038","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T19:11:11Z","timestamp":1620760271000},"page":"557-567","source":"Crossref","is-referenced-by-count":7,"title":["Association of admitting physician specialty and care quality and outcomes in non-ST-segment elevation myocardial infarction (NSTEMI): insights from a national registry"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6934-7684","authenticated-orcid":false,"given":"Saadiq M","family":"Moledina","sequence":"first","affiliation":[{"name":"Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute for Primary Care and Health Sciences, Keele University , Keele , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0513-8319","authenticated-orcid":false,"given":"Ahmad","family":"Shoaib","sequence":"additional","affiliation":[{"name":"Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute for Primary Care and Health Sciences, Keele University , Keele , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0708-7957","authenticated-orcid":false,"given":"Michelle M","family":"Graham","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Mazankowski Alberta Heart Institute, University of Alberta , Edmonton, Alberta , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6103-8510","authenticated-orcid":false,"given":"Giuseppe","family":"Biondi-Zoccai","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome , Latina , Italy"},{"name":"Mediterranea Cardiocentro , Napoli , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8370-4569","authenticated-orcid":false,"given":"Harriette G C","family":"Van Spall","sequence":"additional","affiliation":[{"name":"Department of Medicine, Population Health Research Institute, McMaster University , Hamilton, Ontario , Canada"},{"name":"Department of Health Research Methods, Evidence, and Impact, Population Health Research Institute, McMaster University , Hamilton, Ontario , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6450-5815","authenticated-orcid":false,"given":"Evangelos","family":"Kontopantelis","sequence":"additional","affiliation":[{"name":"Division of Informatics, Imaging and Data Sciences, University of Manchester , Manchester , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Rashid","sequence":"additional","affiliation":[{"name":"Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute for Primary Care and Health Sciences, Keele University , Keele , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9854-481X","authenticated-orcid":false,"given":"Suleman","family":"Aktaa","sequence":"additional","affiliation":[{"name":"Leeds Institute for Data Analytics, University of Leeds , Leeds , UK"},{"name":"Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds , Leeds , UK"},{"name":"Department of Cardiology, Leeds Teaching Hospitals NHS Trust , Leeds , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4732-382X","authenticated-orcid":false,"given":"Chris P","family":"Gale","sequence":"additional","affiliation":[{"name":"Leeds Institute for Data Analytics, University of Leeds , Leeds , UK"},{"name":"Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds , Leeds , UK"},{"name":"Department of Cardiology, Leeds Teaching Hospitals NHS Trust , Leeds , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clive","family":"Weston","sequence":"additional","affiliation":[{"name":"Glangwili General Hospital , Carmarthen, Wales , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9241-8890","authenticated-orcid":false,"given":"Mamas A","family":"Mamas","sequence":"additional","affiliation":[{"name":"Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute for Primary Care and Health Sciences, Keele University , Keele , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,5,12]]},"reference":[{"key":"2022081709511506600_qcab038-B1","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1136\/bmj.38849.440914.AE","article-title":"Impact of specialty of admitting physician and type of hospital on care and outcome for myocardial infarction in England and Wales during 2004-5: observational 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