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Peer-reviewedCC BY-NC-ND 4.0JACC Case Reports

Outcomes of Transfer Destination in Patients With STEMI

  • Ian C. Gilchrist1,2,3
  • April E.P. Read1,3
  • Amgad N. Makaryus1,2,3
  • Ellen M. Kelly1,3
  • Loukas S. Boutis1,2,3
  1. 1Northwell, New Hyde Park, New York, USA
  2. 2Northwell Cardiovascular Institute, Manhasset, New York, USA
  3. 3Plainview Hospital, Plainview, New York, USA
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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.

Project Rationale: Guidelines emphasize timely reperfusion but provide limited evidence on whether outcomes differ by hospital tier once PCI capability is ensured.

Project 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.

Take-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.

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Cite

BibTeXRIS
BibTeX
@article{gilchrist2026outcomes,
  title = {{Outcomes of Transfer Destination in Patients With STEMI}},
  author = {Ian C. Gilchrist and April E.P. Read and Amgad N. Makaryus and Ellen M. Kelly and Loukas S. Boutis},
  journal = {JACC Case Reports},
  year = {2026},
  month = sep,
  doi = {10.1016/j.jaccas.2026.109530},
  url = {https://doi.org/10.1016/j.jaccas.2026.109530},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Outcomes of Transfer Destination in Patients With STEMI
AU  - Ian C. Gilchrist
AU  - April E.P. Read
AU  - Amgad N. Makaryus
AU  - Ellen M. Kelly
AU  - Loukas S. Boutis
PY  - 2026
DA  - 2026/09/16
JO  - JACC Case Reports
DO  - 10.1016/j.jaccas.2026.109530
UR  - https://doi.org/10.1016/j.jaccas.2026.109530
AB  - 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.  Project Rationale: Guidelines emphasize timely reperfusion but provide limited evidence on whether outcomes differ by hospital tier once PCI capability is ensured.  Project 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.  Take-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.
SN  - 2666-0849
ER  -