Association of STEMI regionalization of care with de facto NSTEMI regionalization - 30/10/21
Doi : 10.1016/j.ahj.2021.07.002
Juan Carlos C. Montoy, MD, PhD a, ⁎ 
, Yu-Chu Shen, PhD b, Harlan M Krumholz, MD, SM c, d, e, Renee Y. Hsia, MD, MSc a, f
, Yu-Chu Shen, PhD b, Harlan M Krumholz, MD, SM c, d, e, Renee Y. Hsia, MD, MSc a, f a Department of Emergency Medicine, University of California, San Francisco
b Naval Postgraduate School
c Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine
d Department of Health Policy and Management, Yale School of Public Health
e Center for Outcomes Research and Evaluation, Yale–New Haven Hospital
f Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco
⁎Reprint requests: Juan Carlos C. Montoy, MD, PhD, University of California, San Francisco, Department of Emergency Medicine, 1001 Potrero Ave, Bldg 5, Rm 6A, San Francisco, CA, 94110University of California, San FranciscoDepartment of Emergency Medicine1001 Potrero Ave, Bldg 5, Rm 6ASan FranciscoCA94110
Riassunto |
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.
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Vol 242
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