Differential benefits of cardiac care regionalization based on driving time to percutaneous coronary intervention.
Yu-Chu ShenRenee Y HsiaPublished in: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine (2021)
Measured by likelihood of admission to a PCI-capable facility and receipt of PCI, benefits of STEMI regionalization in California accrued only to patients whose nearest PCI center was ≥30 minutes away. We found no mortality benefits of regionalization based on distance from PCI center. Our results suggest that policymakers focus STEMI regionalization efforts in communities that are not already well serviced by PCI-capable hospitals.
Keyphrases
- percutaneous coronary intervention
- st segment elevation myocardial infarction
- st elevation myocardial infarction
- antiplatelet therapy
- acute myocardial infarction
- acute coronary syndrome
- coronary artery disease
- coronary artery bypass grafting
- healthcare
- end stage renal disease
- atrial fibrillation
- ejection fraction
- coronary artery bypass
- newly diagnosed
- emergency department
- palliative care
- chronic kidney disease
- prognostic factors
- chronic pain
- cardiovascular events
- cardiovascular disease
- heart failure
- peritoneal dialysis
- pain management
- left ventricular
- type diabetes