Document Detail


Percutaneous transluminal coronary angioplasty in New York State. Risk factors and outcomes.
MedLine Citation:
PMID:  1433740     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To identify significant independent risk factors for major percutaneous transluminal coronary angioplasty outcomes.
DESIGN: Retrospective analysis using univariate and logistic regression analysis to identify significant independent risk factors for adverse outcomes.
SETTING: All 31 hospitals performing percutaneous transluminal coronary angioplasty in New York State in 1991.
PATIENTS: All 5827 patients undergoing percutaneous transluminal coronary angioplasty between January 1, 1991, and June 30, 1991, in New York State.
MAIN OUTCOME MEASURES: In-hospital mortality, major complication(s) (in-hospital mortality, myocardial infarction, and/or emergency coronary artery bypass graft), and absence of angiographic success (stenosis reduction of less than 20% on any attempted lesion or residual stenosis of at least 50% on any attempted lesion).
MAIN RESULTS: Before discharge from the hospital, a total of 37 patients (0.63%) died; 67 patients (1.1%) suffered a myocardial infarction, with a mortality rate of 4.5%; and 97 patients (1.7%) underwent emergency coronary artery bypass graft surgery, with a mortality rate of 2.1% (no deaths in 85 patients who were hemodynamically stable and two deaths among 12 patients who were hemodynamically unstable). A total of 187 patients (3.2%) experienced a major complication. Angiographic success was achieved for 88% of all patients. Multivariate analysis found four independent preprocedural variables related to death: female gender, hemodynamic instability, shock, and ejection fraction.
CONCLUSIONS: Percutaneous transluminal coronary angioplasty outcomes in New York compare favorably with other recent results reported in the literature. Several preprocedural variables markedly increase the incidence of adverse events.
Authors:
E L Hannan; D T Arani; L W Johnson; H G Kemp; G Lukacik
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  JAMA     Volume:  268     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1992-12-14     Completed Date:  1992-12-14     Revised Date:  2014-09-17    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  3092-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Balloon, Coronary / adverse effects*,  mortality,  statistics & numerical data
Coronary Artery Bypass / statistics & numerical data
Female
Hospital Mortality
Humans
Male
Multivariate Analysis
Myocardial Infarction / mortality
New York
Outcome Assessment (Health Care)
Risk Factors
Treatment Outcome*
Grant Support
ID/Acronym/Agency:
HS06503/HS/AHRQ HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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