Primary Angioplasty in Acute Myocardial Infarction at Hospitals With No Surgery On-Site (the PAMI-No SOS study) versus transfer to surgical centers for primary angioplasty
Thomas P. Wharton, Jr, MD, FACC*,*,
Lorelei L. Grines, PhD
,
Mark A. Turco, MD, FACC
,
James D. Johnston, MD, FACC
,
Jane Souther, MD, FACC||,
David C. Lew, MD, FACC¶,
Ajazuddin Z. Shaikh, MD, FACC#,
William Bilnoski, MD, FACC**,
Sushil K. Singhi, MD, FACC
,
A. Ersin Atay, MD, FACC
,
Nancy Sinclair, BSN*,
Dawn E. Shaddinger, MSN
,
Mark Barsamian, DO
,
Mariann Graham, BSN
,
Judith Boura, MS
and
Cindy L. Grines, MD, FACC
* Division of Cardiology, Exeter Hospital, Exeter, New Hampshire, USA
Department of Cardiology, William Beaumont Hospital, Royal Oak, Michigan, USA
Doylestown Hospital, Doylestown, Pennsylvania, USA
Hilton Head Hospital, Hilton Head, South Carolina, USA
|| Blount Memorial Hospital, Maryville, Tennessee, USA
¶ Leesburg Regional Medical Center, Leesburg, Florida, USA
# St. Joseph Community Hospital, Mishawaka, Indiana, USA
** Auburn Regional Medical Center, Auburn, Washington, USA

Piedmont Medical Center, Rock Hill, South Carolina, USA

Mercy Medical Center, Cedar Rapids, Iowa, USA

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Figure 1 Comparison of lengths of stay and 30-day outcomes between patients transferred for primary angioplasty (PA) to tertiary cardiac surgical centers and those treated with on-site PA at hospitals without cardiac surgery. The graph on the left demonstrates a trend toward a shorter hospital stay in patients treated with on-site PA. The graph on the right demonstrates a strong trend toward lower mortality at 30 days in patients treated with on-site PA, but no significant differences in recurrent myocardial infarction (reMI), disabling cerebrovascular accident (CVA), or the combination of these major adverse cardiovascular events (MACE) at 30 days. Solid bars = patients transferred to tertiary centers for PA; striped bars = patients treated with on-site PA at nonsurgical hospitals.
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Copyright © 2004 by the American College of Cardiology Foundation.