{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:19:12Z","timestamp":1771222752612,"version":"3.50.1"},"reference-count":8,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate outcomes in high\u2010volume hospitals (HVH) versus non\u2010HVH (NHVH), regardless of revascularization strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>This is a sub\u2010analysis of a multi\u2010centered, retrospective, observational study assessing outcomes in patients with acute coronary syndrome (ACS) who underwent percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) in HVH versus NHVH hospitals. The primary endpoint was 1\u2010year mortality, and secondary endpoints were death, MI, and stroke or transient ischemic attack (TIA) during admission, at 30 days, and at 1 year, 1\u2010year readmission, and index length of stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seven hundred thirty\u2010eight patients from NHVHs and 1116 patients from HVHs were included in this study. Baseline demographics showed a higher proportion of males in the NHVH versus HVH group (73% vs. 67%) and a lower proportion of CABG (9% vs. 20%). The primary endpoint (death) was similar comparing NHVH to HVH hospitals (HR\u2009=\u20090.98 [95% CI 0.75\u20131.27],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.85) as was MI (HR\u2009=\u20090.87 [95% CI 0.52\u20131.44]\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.58) and stroke or TIA (HR 1.28 [95% CI 0.18\u20136.98],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.90). Readmission rates were numerically lower but not statistically significant between NHVH centers (HR\u2009=\u20090.85 [95% CI 0.69\u20131.04]\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.11), as was the median length of stay (3 days vs. 5 days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with ACS found to have multivessel disease had similar 1\u2010year mortality and repeat ACS whether they received care at an HVH or an NHVH. Yet, HVH patients had increased readmission rates, perhaps underscoring their complexity and comorbidities. This study demonstrates that certain patient populations without serious comorbidities may be managed at NHVH hospitals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70184","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T06:07:51Z","timestamp":1758262071000},"page":"3318-3325","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes for Patients Undergoing Revascularization for Multivessel Acute Coronary Syndrome at High\u2010Volume and Non\u2010High\u2010Volume Hospitals"],"prefix":"10.1002","volume":"106","author":[{"given":"Jacob","family":"Powel","sequence":"first","affiliation":[{"name":"Texas A&amp;M College of Medicine Bryan Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kendall","family":"Hammonds","sequence":"additional","affiliation":[{"name":"Biostatistics Baylor Scott and White Research Institute Temple Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose E.","family":"Exaire","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Baylor Scott and White Temple Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy A.","family":"Mixon","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Baylor Scott and White Temple Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher D.","family":"Chiles","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Baylor Scott and White Temple Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly I.","family":"Szerlip","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Baylor Scott and White The Heart Hospital Baylor Scott and White Plano Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srini","family":"Potluri","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Baylor Scott and White The Heart Hospital Baylor Scott and White Plano Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javed","family":"Butler","sequence":"additional","affiliation":[{"name":"Baylor Scott and White Research Institute Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Michael","family":"DiMaio","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Baylor Scott and White The Heart Hospital Baylor Scott and White Plano Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3063-5651","authenticated-orcid":false,"given":"R. Jay","family":"Widmer","sequence":"additional","affiliation":[{"name":"Texas A&amp;M College of Medicine Bryan Texas USA"},{"name":"Department of Internal Medicine Baylor Scott and White Temple Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2023.03.005"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xjon.2021.08.028"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2024.09.003"},{"issue":"1261","key":"e_1_2_7_5_1","first-page":"U2713","article-title":"Survival over 5 Years in the Initial Hospital Survivors With Acute Coronary Syndrome: A Comparison Between a Community Hospital and a Tertiary Hospital in New Zealand","volume":"120","author":"Wong C. K.","year":"2007","journal-title":"New Zealand Medical Journal"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2005.03.012"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1208200"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2024.04.003"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25590"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70184","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70184","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70184","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T05:54:32Z","timestamp":1771221272000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70184"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,18]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/ccd.70184"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70184","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,18]]},"assertion":[{"value":"2024-12-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}