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Development of a unified national database of primary percutaneous coronary intervention centers with co-located

Darya M Herscovici1, Krislyn M Boggs1, Rebecca E Cash1

  • 1From the Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA.

American Heart Journal
|September 13, 2022
PubMed

Insights

A national database of 1,178 24/7/365 primary percutaneous coronary intervention (pPCI) capable emergency departments (EDs) was created. This resource aims to improve access to time-sensitive ST-elevation myocardial infarction (STEMI) treatment across the United States.

Area of Science:

  • Cardiology
  • Health Services Research
  • Public Health

Background:

  • Primary percutaneous coronary intervention (pPCI) is the gold standard for ST-elevation myocardial infarction (STEMI).
  • Access to 24/7/365 pPCI-capable emergency departments (EDs) is inconsistent nationwide.
  • A unified national system identifying these centers is lacking.

Purpose of the Study:

  • To establish a comprehensive national database of all hospitals with 24/7/365 pPCI capabilities.
  • To identify emergency departments (EDs) co-located within these pPCI-capable hospitals.
  • To facilitate research and improve STEMI patient care systems.

Main Methods:

  • Compiled data from the American College of Cardiology (ACC) Chest Pain Centers with Primary PCI registry.
  • Included hospitals designated as STEMI Receiving Centers by the American Heart Association (AHA).
  • Integrated state-designated pPCI-capable hospitals and matched them with the National ED Inventory (NEDI)-USA database.

Main Results:

  • Identified 1,178 EDs (21% of total US EDs) in hospitals with 24/7/365 pPCI capabilities.
  • Data sources included ACC, AHA, and state health departments.
  • Significant regional variation in cardiac care systems was observed.

Conclusions:

  • A unified national database of 24/7/365 pPCI centers co-located in EDs was successfully created.
  • This dataset is crucial for future research on cardiac systems of care.
  • The database will aid efforts to improve timely access to life-saving pPCI interventions for STEMI patients.
Abstract

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