Why the study?
Does treatment at hospitals without onsite CABG surgery affect mortality and revascularization outcomes in patients with STEMI compared to full service centers?
Population
Patients with ST-elevation myocardial infarction treated between January 1, 2003, and December 12, 2006
Comparison
Treatment at primary PCI centers vs Treatment at full service centers
Design
Cohort
Follow-up
3 years
Authors
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Similar mortality at P-PCI centers may support broader access; leaves open effects on repeat revascularization and non-PCI STEMI outcomes.
Does treatment at hospitals without onsite CABG surgery affect mortality and revascularization outcomes in patients with STEMI compared to full service centers?
Primary PCI for STEMI at hospitals without onsite CABG surgery yields similar mortality to full-service centers, though with higher repeat target vessel PCI rates and worse outcomes for non-PCI patients.
Hannan et al. (2009) studied this question.
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