Document Detail

Trends in wait times for cardiac revascularization.
MedLine Citation:
PMID:  21459277     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Improving access to care and reducing wait times are perpetual objectives of Canada's provincially administered health care systems. The objective of this study was to investigate wait times for both percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) surgery.
METHODS: Clinical registry data for all patients who underwent PCI or isolated CABG between fiscal years 1995-1996 and 2007-2008 in Alberta and between fiscal years 2000-2001 and 2007-2008 in British Columbia was used. The first revascularization procedure was identified and linked to its preceding catheterization procedure. "Time to procedure" was calculated as the number of days between catheterization and revascularization dates. Times to PCI and CABG from catheterization were described by fiscal year.
RESULTS: Between April 1, 1995, and March 31, 2008, in Alberta, 50,068 patients received revascularization following their catheterization. Between April 1, 2000, and March 31, 2008, in British Columbia, 52,462 patients received revascularization following their catheterization. Of these, 70.6% and 29.4% received PCI and CABG, respectively, in Alberta, and 74.9% and 25.1% received PCI and CABG, respectively, in British Columbia. For CABG, median waiting times decreased from 31 to 13 days in Alberta and from 17 to 11 days in British Columbia; for PCIs, most now occur on the same day as catheterization.
CONCLUSIONS: Both Alberta and British Columbia have experienced remarkable improvements in wait times for coronary revascularization procedures from time of catheterization.
Danielle A Southern; Mona Izadnegahdar; Mona Izadneghadar; Karin H Humphries; Min Gao; Fei Wang; Merril L Knudtson; Michelle M Graham; William A Ghali
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  27     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:    2011 Mar-Apr
Date Detail:
Created Date:  2011-04-04     Completed Date:  2011-06-07     Revised Date:  2011-10-17    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  262.e21-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2011. Published by Elsevier Inc.
Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
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MeSH Terms
Aged, 80 and over
Myocardial Ischemia / surgery*
Myocardial Revascularization*
Retrospective Studies
Time Factors
Treatment Outcome
Waiting Lists*
Grant Support
//Canadian Institutes of Health Research
Comment In:
Can J Cardiol. 2011 Mar-Apr;27(2):263.e1-3   [PMID:  21459279 ]
Erratum In:
Can J Cardiol. 2011 Sep-Oct;27(5):663
Note: Izadneghadar, Mona [corrected to Izadnegahdar, Mona]

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