Driving times and distances to hospitals with percutaneous coronary intervention in the United States: implications for prehospital triage of patients with ST-elevation myocardial infarction

Circulation
Brahmajee K NallamothuHarlan M Krumholz

Abstract

The success of prehospital triage protocols for patients with ST-elevation myocardial infarction (STEMI) will depend, in part, on how patients are geographically distributed around hospitals that perform percutaneous coronary intervention (PCI). Accordingly, we determined the proportion of the adult population in the United States with timely access to PCI hospitals using driving times and distances. We performed a cross-sectional study using hospital-level data from the American Hospital Association Annual Survey and Census tract-level data on adults 18 years of age or older from the 2000 United States Census. Our aims were to determine the proportion of the adult population who (1) lived within 60 minutes of a PCI hospital and (2) had additional transport times within 30 minutes if directly referred to a PCI hospital as opposed to a closer, non-PCI hospital. Median times and distances to the closest PCI hospital were 11.3 (interquartile range [IQR] 5.7 to 28.5) minutes and 7.9 (IQR 3.5 to 22.4) miles, respectively. A total of 79.0% of the adult population lived within 60 minutes of a PCI hospital. Among those with a non-PCI hospital as their closest facility, 74.0% required additional transport times of <30 minutes if directl...Continue Reading

References

Nov 5, 1997·Annals of Emergency Medicine·P A GearhartA R Localio
Nov 1, 1995·Medical Care Research and Review : MCRR·C S Phibbs, H S Luft
Dec 8, 2000·Italian heart journal. Supplement : official journal of the Italian Federation of Cardiology·G Bernardi
Apr 28, 2001·The American Journal of Emergency Medicine·F S OtaL G Yamamoto
Apr 19, 2002·JAMA : the Journal of the American Medical Association·Thomas AversanoUNKNOWN Atlantic Cardiovascular Patient Outcomes Research Team (C-PORT)
Sep 24, 2002·Lancet·Eric BonnefoyUNKNOWN Comparison of Angioplasty and Prehospital Thromboysis in Acute Myocardial Infarction study group
Aug 22, 2003·The New England Journal of Medicine·Alice K Jacobs
Dec 4, 2003·JAMA : the Journal of the American Medical Association·John D BirkmeyerDavid C Goodman
Apr 21, 2004·Circulation·David O Williams
Sep 17, 2004·Nature·Gregory J Hannon, John J Rossi
Jan 20, 2005·JAMA : the Journal of the American Medical Association·Bruce Y LeeEsther H Chen
Mar 17, 2005·JAMA : the Journal of the American Medical Association·Saif S RathoreHarlan M Krumholz
Jun 2, 2005·JAMA : the Journal of the American Medical Association·Charles C BranasCharles S ReVelle
Sep 28, 2005·Circulation·Jens Jakob ThuneUNKNOWN Danish Multicenter Randomized Study on Fibrinolytic Therapy Versus Acute Coronary Angioplasty in Acute Myocardial Infarction

❮ Previous
Next ❯

Citations

Mar 5, 2008·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·F W A Verheugt
Sep 18, 2008·Nature Clinical Practice. Cardiovascular Medicine·Keith A A Fox, Kurt Huber
Jan 25, 2008·The New England Journal of Medicine·Roger Kapoor, John R Kapoor
Jan 5, 2007·The New England Journal of Medicine·Ellen C Keeley, L David Hillis
May 24, 2008·The New England Journal of Medicine·Jane A Leopold
Jun 26, 2009·The New England Journal of Medicine·Freek W A Verheugt
Jan 18, 2008·The New England Journal of Medicine·Michel R Le MayMarino Labinaz
May 11, 2012·The New England Journal of Medicine·David M ShahianDavid F Torchiana
Oct 29, 2010·Journal of Palliative Medicine·Melissa D A CarlsonR Sean Morrison
Jan 1, 2011·Therapeutic Hypothermia and Temperature Management·Marion LearyBenjamin S Abella
Oct 19, 2007·International Journal of Clinical Practice·M CohenF Kuepper
Jul 29, 2010·Circulation. Cardiovascular Quality and Outcomes·Thomas W ConcannonHarry P Selker
May 17, 2012·International Journal of Health Geographics·Paul L DelamaterSue C Grady
Oct 5, 2012·International Journal of Health Geographics·Alka B PatelWilliam A Ghali
Nov 18, 2011·Journal of Cardiovascular Medicine·Leonardo De LucaGiulio Guagliumi
Oct 21, 2011·Journal of Cardiovascular Medicine·Kristina G LautSteen D Kristensen
Aug 25, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Steen D KristensenPetr Widimsky
Oct 3, 2014·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·S PostmaA W J van 't Hof
May 19, 2012·Current Opinion in Cardiology·Robert C Welsh, Paul W Armstrong
Aug 22, 2008·Current Cardiology Reports·Gregory J Dehmer
Aug 22, 2008·Current Cardiology Reports·David M Larson, Timothy D Henry
Oct 19, 2011·Critical Care Medicine·Ryan Arnold, Rick Hong
May 18, 2013·Critical Pathways in Cardiology·Ivan C RokosWilliam J French
Jan 15, 2008·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Brian P SuffolettoUNKNOWN National Association of Emergency Medical Services Physicians
May 28, 2013·American Heart Journal·Jami DelliFraineJames Jollis
Jan 26, 2013·The American Journal of Emergency Medicine·Andrew P ReimerDamon Kralovic
Apr 12, 2011·Clinical Evidence·Abel P Wakai
Jun 6, 2009·The American Journal of Emergency Medicine·Judd E HollanderCharles V Pollack
Aug 30, 2008·Annals of Emergency Medicine·Brent C PottengerDeepak L Bhatt
Aug 19, 2008·Lancet·Harvey D White, Derek P Chew
Dec 5, 2015·BMC Emergency Medicine·Ashley Pedigo Golden, Agricola Odoi
Jul 21, 2007·The Medical Clinics of North America·Kanwar P Singh, Robert A Harrington
Feb 8, 2008·The American Heart Hospital Journal·Dean J Kereiakes
Oct 30, 2007·Pharmacotherapy·Daniel E HillemanJonathan D Marmur

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