Table 2.
Description of the hospital samples and time to reperfusion
| Fibrinolytic Therapy Hospitals | PCI Hospitals | |||||||
|---|---|---|---|---|---|---|---|---|
| Door-to-Needle Time |
Door-to-Balloon Time |
|||||||
| Characteristics | N=1,015 | Crude | Adjusted* | p | N=421 | Crude | Adjusted* | p |
| % | minutes | minutes | % | minutes | minutes | |||
| Geographic location | 0.060 | 0.001 | ||||||
| New England | 6.4 | 33.9 | 34.6 | 2.9 | 99.5 | 101.9 | ||
| Middle Atlantic | 12.2 | 35.2 | 35.4 | 5.2 | 106.8 | 107.9 | ||
| South Atlantic | 16.8 | 34.5 | 35.1 | 12.4 | 107.3 | 115.6 | ||
| East North Central | 18.1 | 32.7 | 33.6 | 20.2 | 105.8 | 106.0 | ||
| East South Central | 6.5 | 32.3 | 33.1 | 5.9 | 108.6 | 107.1 | ||
| West North Central | 6.9 | 31.9 | 32.9 | 11.6 | 96.1 | 101.7 | ||
| West South Central | 7.5 | 35.1 | 34.5 | 10.5 | 111.1 | 113.3 | ||
| Mountain | 6.3 | 31.2 | 32.5 | 9.0 | 107.5 | 108.7 | ||
| Pacific | 19.2 | 34.7 | 34.9 | 22.3 | 103.1 | 107.1 | ||
| Ownership | >.500 | >.500 | ||||||
| Public | 12.2 | 33.4 | 34.3 | 9.0 | 106.6 | 108.2 | ||
| Not-for-profit | 78.5 | 33.7 | 34.3 | 81.9 | 104.1 | 107.9 | ||
| Private | 9.3 | 33.9 | 34.1 | 9.0 | 109.5 | 108.0 | ||
| Teaching | <0.001 | 0.118 | ||||||
| Urban/teaching | 20.5 | 35.7 | 37.0 | 47.0 | 105.0 | 108.9 | ||
| Urban/nonteaching | 51.7 | 33.7 | 34.3 | 46.1 | 105.0 | 107.6 | ||
| Rural/teaching | 1.9 | 32.6 | 34.1 | 2.1 | 103.3 | 100.6 | ||
| Rural/nonteaching | 25.9 | 31.9 | 33.3 | 4.8 | 96.7 | 101.8 | ||
| Facilities | 0.362 | 0.040 | ||||||
| Open-heart surgery program | 31.8 | 35.0 | 35.0 | 91.9 | 105.2 | 108.4 | ||
| Cardiac catheterization lab only | 35.1 | 32.9 | 34.2 | 8.1 | 98.7 | 102.4 | ||
| Other | 33.1 | 33.2 | 33.6 | - | - | - | ||
| Annual volume | 0.004 | <0.001 | ||||||
| <20 LYS or <15 PCI | 25.9 | 34.9 | 35.9 | 15.4 | 114.2 | 112.6 | ||
| 20-40 LYS or 15-50 PCI | 44.9 | 33.7 | 34.8 | 72.2 | 107.2 | 110.4 | ||
| >40 LYS or >50 PCI | 29.2 | 33.3 | 33.4 | 12.4 | 97.2 | 101.6 | ||
| Reperfusion specialization † | 0.005 | 0.018 | ||||||
| %LYS or %PCI <20 | 0.3 | 52.9 | 49.3 | 3.1 | 120.1 | 110.0 | ||
| %LYS or %PCI 20-90 | 31.6 | 35.0 | 35.7 | 74.1 | 107.2 | 108.7 | ||
| %LYS or %PCI >90 | 68.1 | 33.0 | 33.6 | 22.8 | 98.6 | 99.3 | ||
*
Hierarchical model adjusted for both patient and hospital characteristics, and calendar time
†
Percent of total reperfused patients who had the reperfusion strategy (i.e., # PCI patients / total # reperfused)
LYS=fibrinolytic therapy; PCI=percutaneous coronary intervention