Characteristics, Process Metrics, and Outcomes Among Patients With ST-Elevation Myocardial Infarction in Rural vs Urban Areas in the US: A Report From the US National Cardiovascular Data Registry.

ABSTRACT:

Importance

Patients with ST-segment elevation myocardial infarction (STEMI) living in rural settings often have worse clinical outcomes compared with their urban counterparts. Whether this discrepancy is due to clinical characteristics or delays in timely reperfusion with primary percutaneous coronary intervention (PPCI) or fibrinolysis is unclear.

Objective

To assess process metrics and outcomes among patients with STEMI in rural and urban settings across the US.

Design, setting, and participants

This cross-sectional multicenter study analyzed data for 70 424 adult patients with STEMI from the National Cardiovascular Data Registry Chest Pain-MI Registry in 686 participating US hospitals between January 1, 2019, and June 30, 2020. Patients without a valid zip code wer

SUBMITTER: Hillerson D 

PROVIDER: S-EPMC9434481 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature