Percutaneous coronary intervention in patients with acute myocardial infarction in a Vermont hospital 2015-2019: exploring associations between travel time and length of stay.
Bachyrycz, Brian Flores, Tyler Henderson, Katie Holt, Maggie Walzer, Joseph Dayman, Caitlyn
Bachyrycz, Brian
Flores, Tyler
Henderson, Katie
Holt, Maggie
Walzer, Joseph
Dayman, Caitlyn
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Abstract
OBJECTIVE: To examine if travel time between patients experiencing acute myocardial infarction (AMI) and a Percutaneous coronary intervention (PCI) center influenced hospital length of stay (HLOS) and discharge destination. METHODS: Data was extracted from the Vermont Uniform Hospital Discharge Data Reporting System (2015-2019). A logistic regression model examined the association between travel time to PCI center and hospital length of stay (HLOS). Additionally, a χ2 test was performed alongside a logistic regression analysis to examine the association between HLOS and patient discharge outcomes. RESULTS: Logistic regression analysis found no statistically significant relationship between HLOS and travel time from the PCI center but did show a significant increase in risk for a HLOS over five days in encounters over the age of 65. CONCLUSIONS: Increased travel time did not affect outcomes for patients presenting for AMI treated with PCI. However, there was a strong relationship between increased HLOS and poor discharge outcome. Increasing the density of PCI-equipped hospitals does not appear to be necessary to reduce HLOS or improve discharge outcomes in the population represented by this data set.
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2022-01-01