{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T23:10:36Z","timestamp":1789254636068,"version":"build-2803163510"},"reference-count":37,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T00:00:00Z","timestamp":1742515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Angiology"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:p>Percutaneous coronary interventions (PCIs) have seen a steady rise. Recent guidelines have established that PCIs conducted at non-surgical on-site (NSOS) facilities have low complication rates and outcomes comparable to surgical on-site (SOS) centers. However, differing perspectives in the growing literature continue to sustain controversy. A thorough literature review was performed across four databases, including PubMed, Cochrane Library, Scopus, and Web of Science, to identify studies comparing outcomes between hospitals. The primary endpoints were: 30-day mortality, myocardial infarction (MI), cerebral vascular accident (CVA), emergency coronary artery bypass surgery (eCABG), rePCI, and target vessel revascularization (TVR). The final search yielded 22 studies, including a total of 2,181,897 patients. The majority of patients (71.9%) underwent PCI in SOS hospitals. There was a significant association of increased eCABG (OR = 1.99; 95% CI: 1.08\u20133.67) and rePCI (OR = 1.62; 95% CI: 1.37\u20131.91) rates in SOS hospitals. However, 30-day mortality (OR = 0.91; 95% CI: 0.53\u20131.54), MI (OR = 1.08; 95% CI: 0.91\u20131.28), CVA (OR = 1.13; 95% CI: 0.69\u20131.86), and TVR (OR = 1.06; 95% CI: 0.92\u20131.21) showed no significant difference between hospitals. Subgroup analyses among clinical trials and ST-segment elevation myocardial infarction (STEMI) patients found no significant associations. Conclusively, this meta-analysis provides updated insight into the impact of SOS on PCI outcomes, having no difference except for eCABG and rePCI rates.<\/jats:p>","DOI":"10.1177\/00033197251326354","type":"journal-article","created":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T06:25:40Z","timestamp":1742538340000},"page":"554-562","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Outcomes of PCI in Hospitals With or Without Surgical Backup: A Meta-analysis"],"prefix":"10.1177","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4366-9620","authenticated-orcid":false,"given":"Tala A","family":"Haddad","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Jordan, Amman, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4688-9728","authenticated-orcid":false,"given":"Ahmad A.","family":"Toubasi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Jordan, Amman, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4613-3124","authenticated-orcid":false,"given":"Abdallah","family":"Fahmawi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Zaid","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Jordan, Amman, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-009-0045-x"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2018.05.047"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.12.016"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2006.06.026"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2014.08.027"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2016.4188"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.05.052"},{"key":"e_1_3_2_9_2","unstructured":"Cleveland Clinic. Heart attack (Myocardial Infarction) [Internet]. Cleveland Clinic. Published October 30 2022. Available from: https:\/\/my.clevelandclinic.org\/health\/diseases\/16818-heart-attack-myocardial-infarction"},{"key":"e_1_3_2_10_2","unstructured":"The George Washington University Hospital. Understanding stroke [Internet]. George Washington University Hospital. Published October 13 2015. Available from: https:\/\/www.gwhospital.com\/conditions-services\/neurosciences-institute\/understandingstroke#:~:text=A%20stroke%2C%20also%20referred%20to"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000036595.92742.69"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2022.103364"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.112.974956"},{"key":"e_1_3_2_14_2","unstructured":"Wells GA Shea B O\u2019Connell D et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa Health Research Institute; 2014. p 7. https:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0259-8"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1201\/9780429258589"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2023.103550"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000141"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1300610"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e3283378880"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1114540"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.03.013"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2006.098061"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.118.007097"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.109.894048"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.108.841296"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.5603\/KP.a2014.0131"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2011.02.009"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1522-726X(199908)47:4<441::AID-CCD12>3.0.CO;2-S"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2007.06.022"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12471-016-0872-0"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jjcc.2016.01.012"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.16.1961"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2007.07.047"},{"key":"e_1_3_2_35_2","first-page":"135","article-title":"Clinical outcomes of percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS) between hospitals with and without onsite cardiac surgery backup","volume":"36","author":"Akasaka T","year":"2015","unstructured":"Akasaka T, Hokimoto S, Tabata N, et al. Clinical outcomes of percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS) between hospitals with and without onsite cardiac surgery backup. Eur Heart J. 2015;36:135.","journal-title":"Eur Heart J"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1097\/MJT.0b013e3181bc0f5a"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2011.12.035"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.2000.2397"}],"container-title":["Angiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00033197251326354","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00033197251326354","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00033197251326354","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:22:34Z","timestamp":1777371754000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00033197251326354"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,21]]},"references-count":37,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/00033197251326354"],"URL":"https:\/\/doi.org\/10.1177\/00033197251326354","relation":{},"ISSN":["0003-3197","1940-1574"],"issn-type":[{"value":"0003-3197","type":"print"},{"value":"1940-1574","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,21]]}}}