Why the study?
Does performing PCI at facilities without on-site cardiothoracic surgery improve patient access without compromising clinical outcomes compared to facilities with on-site surgery?
Population
24,387 patients receiving percutaneous coronary intervention at Veterans Affairs facilities between October…
Comparison
PCI at facilities without on-site cardiothoracic… vs PCI at facilities with on-site CT surgery
Design
Cohort
Follow-up
1 year
Authors
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May expand PCI access via shorter drive times; leaves open causal safety and higher revascularization pending trials.
Does performing PCI at facilities without on-site cardiothoracic surgery improve patient access without compromising clinical outcomes compared to facilities with on-site surgery?
Performing PCI at facilities without on-site cardiothoracic surgery within an integrated health system improves patient access (reduced drive time) without increasing 1-year mortality or myocardial infarction rates.
Maddox et al. (2014) studied this question.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: