PMID- 34274313
OWN - NLM
STAT- MEDLINE
DCOM- 20211228
LR  - 20230708
IS  - 1097-6744 (Electronic)
IS  - 0002-8703 (Print)
IS  - 0002-8703 (Linking)
VI  - 242
DP  - 2021 Dec
TI  - Association of STEMI regionalization of care with de facto NSTEMI 
      regionalization.
PG  - 1-5
LID - S0002-8703(21)00181-2 [pii]
LID - 10.1016/j.ahj.2021.07.002 [doi]
AB  - 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.
CI  - Copyright (c) 2021 Elsevier Inc. All rights reserved.
FAU - Montoy, Juan Carlos C
AU  - Montoy JCC
AD  - Department of Emergency Medicine, University of California, San Francisco. 
      Electronic address: juancarlos.montoy@ucsf.edu.
FAU - Shen, Yu-Chu
AU  - Shen YC
AD  - Naval Postgraduate School.
FAU - Krumholz, Harlan M
AU  - Krumholz HM
AD  - Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School 
      of Medicine; Department of Health Policy and Management, Yale School of Public 
      Health; Center for Outcomes Research and Evaluation, Yale-New Haven Hospital.
FAU - Hsia, Renee Y
AU  - Hsia RY
AD  - Department of Emergency Medicine, University of California, San Francisco; Philip 
      R. Lee Institute for Health Policy Studies, University of California, San 
      Francisco.
LA  - eng
GR  - R01 HL114822/HL/NHLBI NIH HHS/United States
GR  - R01 HL134182/HL/NHLBI NIH HHS/United States
GR  - UL1 TR001863/TR/NCATS NIH HHS/United States
PT  - Letter
PT  - Research Support, N.I.H., Extramural
DEP - 20210715
PL  - United States
TA  - Am Heart J
JT  - American heart journal
JID - 0370465
SB  - IM
MH  - *Hospital Planning/organization & administration
MH  - Humans
MH  - *Non-ST Elevated Myocardial Infarction/therapy
MH  - Percutaneous Coronary Intervention
MH  - *ST Elevation Myocardial Infarction/therapy
PMC - PMC8568654
MID - NIHMS1734981
COIS- Conflicts of interest In the past three years, Harlan Krumholz received expenses 
      and/or personal fees from UnitedHealth, IBM Watson Health, Element Science, 
      Aetna, Facebook, the Siegfried and Jensen Law Firm, Arnold and Porter Law Firm, 
      Martin/Baughman Law Firm, F-Prime, and the National Center for Cardiovascular 
      Diseases in Beijing. He is an owner of Refactor Health and HugoHealth, and had 
      grants and/or contracts from the Centers for Medicare & Medicaid Services, 
      Medtronic, the U.S. Food and Drug Administration, Johnson & Johnson, and the 
      Shenzhen Center for Health Information.
EDAT- 2021/07/19 06:00
MHDA- 2021/12/29 06:00
PMCR- 2022/12/01
CRDT- 2021/07/18 20:33
PHST- 2020/11/23 00:00 [received]
PHST- 2021/07/07 00:00 [accepted]
PHST- 2021/07/19 06:00 [pubmed]
PHST- 2021/12/29 06:00 [medline]
PHST- 2021/07/18 20:33 [entrez]
PHST- 2022/12/01 00:00 [pmc-release]
AID - S0002-8703(21)00181-2 [pii]
AID - 10.1016/j.ahj.2021.07.002 [doi]
PST - ppublish
SO  - Am Heart J. 2021 Dec;242:1-5. doi: 10.1016/j.ahj.2021.07.002. Epub 2021 Jul 15.