Cohort study
Do Percutaneous Coronary Intervention (PCI) Facility Openings and Closures Affect AMI Outcomes Differently in High- vs Average-Capacity Markets?
- Retrospective cohort study
- community fixed-effects regression models
Authors' conclusion
After openings, patients in average-capacity markets derived significant benefits, whereas those in high-capacity markets did not.
Study context
- Population
- Patients with acute MI in zip code communities, PCI hospital availability within 15-minute drive, 2006–2017
- Exposure
- Average-capacity markets vs High-capacity markets
Main finding
As reported in the abstract
Outcomes after PCI hospital opening
Experienced opening within 15-minute drive
| Outcome | Average-capacity markets | High-capacity markets |
|---|---|---|
| Change in admission to high-volume PCI facility | 2.6 percentage point decrease | 11.6 percentage point decrease |
| Same-day revascularization | 5.5% relative increase | Not reported in the abstract |
| In-hospital revascularization | 7.6% relative increase | Not reported in the abstract |
| Mortality | 2.5% decrease | Not reported in the abstract |
Observational data: associations, not effects.
Further findings
Outcomes after PCI hospital closure
- Admission to high-volume PCI hospitals
- 10.4% relative increase
- Receipt of same-day PCI
- 1.4 percentage point decrease
Original publication
Do PCI Facility Openings and Closures Affect AMI Outcomes Differently in High- vs Average-Capacity Markets? JACC Cardiovasc Interv. Published 3 May 2023. doi:10.1016/j.jcin.2023.02.010
Summarised from the published abstract; every number is checked against it