Percutaneous Coronary Intervention in the United States: Risk Factors for Untimely Access.

ABSTRACT:

Objective

To determine how access to percutaneous coronary intervention (PCI) is distributed across demographics.

Data sources

Secondary data from the 2011 American Hospital Association (AHA) survey data combined with 2010 Census.

Study design

We calculated prehospital times from 32,370 ZIP codes to the nearest PCI center. We used a multivariate logit model to determine the odds of untimely access by the ZIP code's concentration of vulnerable populations.

Data collection

We used ZIP code-level data on community characteristics from the 2010 Census and supplemented it with 2011 AHA survey data on service-line availability of PCI for responding hospitals.

Principal findings

For approximately 306 million Americans, the median prehospital time to the nearest

SUBMITTER: Hsia RY 

PROVIDER: S-EPMC4799910 | biostudies-literature | 2016 Apr

REPOSITORIES: biostudies-literature