Original Investigation

Disparities by Race and Ethnicity in Percutaneous Coronary Intervention

JAMA Network Open 10.1001/jamanetworkopen.2025.32660

September 18, 2025 at 11:00 AM EDT

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What hospital factors are associated with disparities by race and ethnicity in receipt of guideline-recommended percutaneous coronary intervention (PCI) among patients with ST-segment elevation myocardial infarction?In this cross-sectional study of 139 629 participants, Black and Hispanic patients were less likely than White patients to initially present to PCI-capable hospitals, receive PCIs if initially presenting to PCI-capable hospitals, be transferred if initially presenting to non–PCI-capable hospitals, and receive PCIs if transferred.These findings suggest that 2 areas of focus could be standardizing hospital protocols at PCI-capable hospitals and improving hospital transfers.

Corresponding Author: Charleen Hsuan, JD, PhD, Department of Health Policy and Administration, Pennsylvania State University, 498 Allen Rd, 601B Donald H Ford Building, University Park, PA 16802 (chsuan@psu.edu).

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