Hospital percutaneous coronary intervention volume and patient mortality, 1998 to 2000

Epstein, Andrew J.; Rathore, Saif S.; Volpp, Kevin G.; Krumholz, Harlan M.

doi:10.1016/j.jacc.2003.09.070

Cited by 85 publications

(79 citation statements)

References 44 publications

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“…Further, there is only a weak relationship with unplanned CABG [38][39][40][41][42][43][44], which is likely due to the many clinical variables that impact outcomes (Table III). In the Northern New England Registry [26] there was no relationship between operator volume and clinical success, MI as a complication, mortality (low or high-risk patients) or in-hospital CABG.…”

Section: Public Reporting Of Pci Volumementioning

confidence: 99%

“…Institutional volume may be a better quality indicator, but it does not supersede validated clinical outcomes [29,33,37,38,49]. A team with more experience in high-risk cases, increased sharing techniques, greater collaboration with surgical colleagues, and broader access to newer technologies are possible explanations for better outcomes at large-volume institutions.…”

Section: Public Reporting Of Pci Volumementioning

confidence: 99%

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Quality assessment and improvement in interventional cardiology: A position statement of the society of cardiovascular angiography and interventions, Part II: Public reporting and risk adjustment

Klein

Singh

et al. 2011

Cathet Cardio Intervent

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Section: Public Reporting Of Pci Volumementioning

confidence: 99%

Section: Public Reporting Of Pci Volumementioning

confidence: 99%

Quality assessment and improvement in interventional cardiology: A position statement of the society of cardiovascular angiography and interventions, Part II: Public reporting and risk adjustment

Klein

Singh

et al. 2011

Cathet Cardio Intervent

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“…[14][15][16][17][18][19] However, in the earlier reports on hospital numbers, the minimum number of all PCIs needed to guarantee an acceptable mortality was 160 to 200 per year per hospital. 14,15 In another registry on 446 hospitals in the US, PCI had a lower mortality than thrombolysis as a treatment for acute myocardial infarction when performed in a hospital with a case load of 17 or more. 16 Only recently Hannan reported on the New York PCI reporting system.…”

Section: -12mentioning

confidence: 99%

Emergency cardiac surgery after a failed percutaneous coronary intervention in an interventional centre without on-site cardiac surgery

Lemkes¹,

Peels²,

Huybregts³

et al. 2007

NHJL

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2500 patients were treated by PCI in the Medical Centre Alkmaar. These patients were treated for an acute myocardial infarction (33%), acute coronary syndromes (37%) or progressive angina (30%). In this first series of off-site PCI in the Netherlands, the incidence of emergency cardiac surgery following failed PCI was 0.2% All five patients who needed emergency surgery underwent elective PCI for progressive stable coronary artery disease. No emergency surgery was needed for primary PCIs in patients with an acute myocardial infarction. All patients survived emergency surgery following failed PCI. Conclusion. Adherence to the

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“…Previous studies also have demonstrated above suggestions in many surgical procedures, such as coronary artery bypass graft, pancreatic and thoracic surgery (1)(2)(3). In cardiology, the relationship between hospital percutaneous coronary intervention (PCI) volume and in-hospital mortality has been widely investigated (4,5). There is some evidence that the disparity in outcomes of PCI between high-and low-volume hospitals has narrowed over time (6).…”

Section: Introductionmentioning

confidence: 93%

Relationship between hospital volume and risk-adjusted mortality rate following percutaneous coronary intervention in Korea, 2003 to 2004

Kim¹,

Her²

2013

Anadolu Kardiyol Derg

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Objective: There have been a large number of studies that have investigated the relationship between outcomes and provider volume for a wide variety of medical conditions and surgical conditions. The objective of this study was to explore the relation between hospital volume and riskadjusted mortality following percutaneous coronary intervention between 2003 and 2004 in Korea. Methods: This is a retrospective analysis of database in National Health Insurance Review & Assessment Service and Korean National Statistical Office. The study data set confined to the ICD-10 diagnosis and procedure codes that were recorded in the National Health Insurance Review Agency. Risk modeling was performed through logistic regression and validated with cross-validation. The statistical performance of the developed model was evaluated using c-statistics, R 2 , and Hosmer-Lemeshow statistic. Crude and risk-adjusted 30-day mortality was evaluated among patients who underwent Percutaneous Coronary Intervention (PCI) between 2003 and 2004 at low (less 200 cases/year), medium (200~399 cases/year), and high (400 cases or more/year) PCI volume hospitals. Results: The final risk-adjustment model consisted of ten risk factors for 30-day mortality. These factors were found to have statistically significant effects on patient mortality. The c-statistic and Hosmer-Lemeshow χ 2 goodness-of-fit test and the model's performance were good [R 2 =0.147, c-statistic 0.823, 4.1037 (p=0.8476)]. A total number of 60 low-volume hospitals (9.071 patients) and 27 medium-volume hospitals (15.623 patients) and 15 high-volume hospitals (19.669 patients) were included. Crude 30-day mortality rate was 1.4%, 1.1%, and 1.0% (p=0.0106) in each volume hospitals. But risk-adjusted mortality rate was not significantly different among three groups (1.3%, 1.0%, and 1.1% in each volume hospitals). Conclusion: Although we found a significant different crude 30-day mortality rates according to hospital PCI volume, but did not find a relationship between hospital volume and 30-day risk-adjusted mortality rates following PCI in Korea. (Anadolu Kardiyol Derg 2013; 13: 237-42)

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Hospital percutaneous coronary intervention volume and patient mortality, 1998 to 2000

Abstract: We found no evidence of higher in-hospital mortality in patients undergoing PCI at medium-volume hospitals compared with patients treated at hospitals with annual PCI volumes of 400 cases of more, suggesting current ACC/AHA PCI hospital volume minimums may merit reevaluation.

Cited by 85 publications

References 44 publications

Quality assessment and improvement in interventional cardiology: A position statement of the society of cardiovascular angiography and interventions, Part II: Public reporting and risk adjustment

Quality assessment and improvement in interventional cardiology: A position statement of the society of cardiovascular angiography and interventions, Part II: Public reporting and risk adjustment

Emergency cardiac surgery after a failed percutaneous coronary intervention in an interventional centre without on-site cardiac surgery

Relationship between hospital volume and risk-adjusted mortality rate following percutaneous coronary intervention in Korea, 2003 to 2004

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