{
  "abstract": "Background: The optimal transfer destination for patients with ST-segment elevation myocardial infarction presenting to nonpercutaneous coronary intervention (PCI)-capable hospitals remains unclear, particularly where both enhanced community (EC) hospitals with PCI capability and quaternary centers are available.\n\nProject Rationale: Guidelines emphasize timely reperfusion but provide limited evidence on whether outcomes differ by hospital tier once PCI capability is ensured.\n\nProject Summary: Retrospective before-after quality improvement noninferiority analysis of 54 consecutive patients (EC n = 22, quaternary centers n = 32) presenting to a non–PCI-capable community hospital, comparing first door-to-balloon times, need for subsequent transfer, and major adverse cardiac events. Transfer to EC demonstrated noninferior (P < 0.0001) and significantly shorter door-to-balloon times (90.8 ± 15.5 vs 101.6 ± 18.9 min; P = 0.03) with equivalent major adverse cardiac events.\n\nTake-Home Message: Transferring patients with ST-segment elevation myocardial infarction to a nearby EC PCI-capable hospitals enables faster reperfusion while maintaining quality and safety of care.",
  "abstract_shown": true,
  "affiliations": [
    "Northwell, New Hyde Park, New York, USA",
    "Northwell Cardiovascular Institute, Manhasset, New York, USA",
    "Plainview Hospital, Plainview, New York, USA"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0,
        1,
        2
      ],
      "name": "Ian C. Gilchrist"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "April E.P. Read"
    },
    {
      "affs": [
        0,
        1,
        2
      ],
      "name": "Amgad N. Makaryus"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Ellen M. Kelly"
    },
    {
      "affs": [
        0,
        1,
        2
      ],
      "name": "Loukas S. Boutis"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/09g0yv9x9yq89.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109530",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728257/",
  "id": "09g0yv9x9yq89",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109530",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Outcomes and Quality"
    ],
    [
      "heading",
      "Quality Improvement Projects"
    ],
    [
      "openalex",
      "2705|Acute Myocardial Infarction Research"
    ]
  ],
  "openalex": "W7213432707",
  "pdf_url": null,
  "pmcid": "PMC13728257",
  "pmid": "42752035",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/09g0yv9x9yq89.ris",
  "sources": [
    {
      "first_seen": "2026-11-06T12:23:58Z",
      "native_id": "PMC13728257",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109530"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Acute Myocardial Infarction Research",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Outcomes of Transfer Destination in Patients With STEMI",
  "title_text": "Outcomes of Transfer Destination in Patients With STEMI",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:16Z",
  "url": "https://research.draconitic.com/paper/09g0yv9x9yq89",
  "venue": "JACC Case Reports",
  "versions": []
}