000			04428nam a22007097a 4500
008			201006s20202020 xxu||||| |||| 00| 0 eng d
022			_a0002-9149
024			_a10.1016/j.amjcard.2020.08.028 [doi]
024			_aS0002-9149(20)30885-7 [pii]
040			_aOvid MEDLINE(R)
099			_a32866443
245			_aProcedural Characteristics and Outcomes of Patients Undergoing Percutaneous Coronary Intervention During Normal Work Hours Versus Non-work Hours.
251			_aAmerican Journal of Cardiology. 135:32-39, 2020 11 15.
252			_aAm J Cardiol. 135:32-39, 2020 11 15.
252			_zAm J Cardiol. 2020 Aug 28
253			_aThe American journal of cardiology
260			_c2020
260			_fFY2021
265			_saheadofprint
265			_sppublish
266			_d2020-10-06
268			_aAmerican Journal of Cardiology. 2020 Aug 28
501			_aAvailable online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
520			_aPercutaneous coronary intervention (PCI) performed during non-work hours is believed to have inferior outcomes because of operator fatigue, differences in baseline patient characteristics, and fewer on-call catheterization laboratory staff. We aimed to analyze a cohort of patients who underwent PCI (all comers) at our tertiary-care center between January 1, 2006, and December 31, 2018, and compare procedural and in-hospital outcomes between 2 groups defined by whether PCI was performed during normal work hours (7:00 A.M. to 7:00 PM) versus non-work hours (7:01 P.M. to 6:59 A.M. weekdays; all hours weekends and holidays). Finally, we examined temporal changes throughout the 24-hour weekday. Primary outcomes were unadjusted in-hospital adverse outcomes (composite death, recurrent myocardial infarction, emergent coronary artery bypass grafting, and target lesion revascularization). We identified 21,848 patients who underwent PCI at our institution. The proportions of ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction (NSTEMI) were higher during non-work hours. Overall, unadjusted in-hospital adverse outcomes were higher during non-work hours than during normal work hours (8.80% vs 2.00%; p <0.001). These findings were consistent based on the patient's clinical presentation (STEMI, NSTEMI, unstable angina, and stable angina). Despite confounding variables in the patients' presentations preventing definite causal attribution, our analysis demonstrates that in-hospital adverse outcomes were higher for those patients who underwent PCI (all comers) who had their procedures during non-work hours than during normal work hours. Copyright (c) 2020 Elsevier Inc. All rights reserved.
546			_aEnglish
650			_a*After-Hours Care
650			_a*Angina, Stable/su [Surgery]
650			_a*Angina, Unstable/su [Surgery]
650			_a*Myocardial Infarction/su [Surgery]
650			_a*Percutaneous Coronary Intervention
650			_aAfter-Hours Care/sn [Statistics & Numerical Data]
650			_aAged
650			_aCohort Studies
650			_aFemale
650			_aHumans
650			_aMale
650			_aMiddle Aged
650			_aPercutaneous Coronary Intervention/mt [Methods]
650			_aRetrospective Studies
650			_aTreatment Outcome
651			_aMedStar Heart & Vascular Institute
657			_aJournal Article
700			_aBen-Dor, Itsik
700			_aBernardo, Nelson L
700			_aCase, Brian C
700			_aChen, Yuefeng
700			_aForrestal, Brian J
700			_aHashim, Hayder
700			_aMusallam, Anees
700			_aRogers, Toby
700			_aSatler, Lowell F
700			_aTorguson, Rebecca
700			_aWaksman, Ron
700			_aWeintraub, William S
700			_aWermers, Jason P
700			_aYerasi, Charan
700			_aZhang, Cheng
790			_aBen-Dor I, Bernardo N, Case BC, Chen Y, Forrestal BJ, Hashim H, Musallam A, Rogers T, Satler LF, Torguson R, Waksman R, Weintraub WS, Wermers JP, Yerasi CT, Zhang C
856			_uhttps://dx.doi.org/10.1016/j.amjcard.2020.08.028 _zhttps://dx.doi.org/10.1016/j.amjcard.2020.08.028 _zhttps://dx.doi.org/10.1016/j.amjcard.2020.08.028
856			_uhttps://dx.doi.org/10.1016/j.amjcard.2020.08.028 _zhttps://dx.doi.org/10.1016/j.amjcard.2020.08.028 _zhttps://dx.doi.org/10.1016/j.amjcard.2020.08.028
942			_cART _dArticle
999			_c5557 _d5557