STEMI mortality in community hospitals versus PCI-capable hospitals: results from a nationwide STEMI network programme.

ABSTRACT:

Aims

Reports examining local ST elevation myocardial infarction (STEMI) networks focused mainly on percutaneous coronary intervention (PCI)-related time issues and outcomes. To validate the concept of STEMI networks in a real-world context, more data are needed on management and outcome of an unselected community based STEMI population.

Methods and results

The current study evaluated reperfusion strategies and in-hospital mortality in 8500 unselected STEMI patients admitted to 47 community hospitals (n=3053) and 25 PCI-capable hospitals (n=5447) in the context of a nationwide STEMI network programme that started in 2007 in Belgium. The distance between the hub and spoke hospitals ranged from 2.2 to 47 km (median 15 km). A propensity score was used to adjust for differences i

SUBMITTER: Claeys MJ 

PROVIDER: S-EPMC3760556 | biostudies-literature | 2012 Apr

REPOSITORIES: biostudies-literature