Association of STEMI regionalization of care with de facto NSTEMI regionalization

Am Heart J. 2021 Dec:242:1-5. doi: 10.1016/j.ahj.2021.07.002. Epub 2021 Jul 15.

Abstract

The regionalization of care for ST elevation myocardial infarction (STEMI) may unintentionally concentrate patients with non-ST elevation myocardial infarction (NSTEMI) into percutaneous coronary intervention (PCI) capable hospitals. This could lead to benefits such as increased access to PCI-capable hospitals, but could cause harms such as crowding in some hospitals with decreased patient volume and revenue in others. We set out to assess whether STEMI regionalization programs concentrated patients with NSTEMI at STEMI-receiving hospitals.

Publication types

  • Letter
  • Research Support, N.I.H., Extramural

MeSH terms

  • Hospital Planning* / organization & administration
  • Humans
  • Non-ST Elevated Myocardial Infarction* / therapy
  • Percutaneous Coronary Intervention
  • ST Elevation Myocardial Infarction* / therapy