| Volume-outcome relation for hospitals performing angioplasty for acute myocardial infarction: results from the Nationwide Japanese Registry. | |
| | |
MedLine Citation:
|
PMID: 15459459 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The purpose of this study was to use a contemporary database to examine the relationship between annual hospital volume and the outcomes of percutaneous coronary interventions (PCIs) for acute myocardial infarction (AMI), given the wide spread use of coronary stents. An inverse relation exists between the number of PCIs and short-term outcome, but PCI practice has been changing with the availability of new devices such as stents. METHODS AND RESULTS: Data from the 1997 Japanese nationwide registry were analyzed to determine the relation between the annual hospital volume of PCI procedures for patients with AMI and in-hospital mortality, as well as the need for coronary artery bypass graft (CABG) surgery. A total of 129 hospitals (2,491 patients) were divided into terciles according to the annual volume. Of the procedures, 39% involved coronary stents. Median annual PCI volumes varied across terciles from low =10, middle =33, and high =89. After adjusting for patient characteristics, there was no significant relationship between volume and in-hospital mortality (trend P=0.66) and CABG (trend P=0.35). Among patients who received stents (n=958), there was no significant association between volume and either mortality or CABG. CONCLUSIONS: Using the contemporary database, there was no significant relationship between hospital volume and in-hospital outcome among AMI patients undergoing PCIs. |
| | |
Authors:
|
Miyuki Tsuchihashi; Hiroyuki Tsutsui; Hideo Tada; Miwako Shihara; Akira Takeshita; Suminori Kono; |
Related Documents
:
|
16236929 - Early administration of intracoronary verapamil improves myocardial perfusion during pe... 15685299 - Routine use of glycoprotein iib/iiia inhibitor therapy is associated with an improved i... 20978899 - Data feedback reduces door-to-balloon time in patients with st-elevation myocardial inf... 17012129 - Distal embolic protection during percutaneous coronary intervention in patients with ac... 17827519 - Primary percutaneous coronary intervention in saphenous vein grafts: a visualization st... 18441449 - Clinical and procedural predictors of no-reflow phenomenon after primary percutaneous c... 17976889 - An observational study describing the geographic-time distribution of cardiac arrests i... 20398869 - Stunning and cumulative left ventricular dysfunction occurs late after coronary balloon... 19757029 - Architecture of the left ventricle: insights for optimal surgical ventricular restoration. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Circulation journal : official journal of the Japanese Circulation Society Volume: 68 ISSN: 1346-9843 ISO Abbreviation: Circ. J. Publication Date: 2004 Oct |
Date Detail:
|
Created Date: 2004-10-01 Completed Date: 2005-03-09 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 101137683 Medline TA: Circ J Country: Japan |
Other Details:
|
Languages: eng Pagination: 887-91 Citation Subset: IM |
Affiliation:
|
Department of Preventive Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Angioplasty, Transluminal, Percutaneous Coronary
/
statistics & numerical data* Databases, Factual* Hospital Mortality Hospitals / standards, statistics & numerical data*, utilization Humans Japan Myocardial Infarction / mortality, therapy* Registries* Stents / statistics & numerical data*, utilization |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Population differentiation in the Pacific white-sided dolphin Lagenorhynchus obliquidens inferred fr...
Next Document: Association of white blood cell count and clustered components of metabolic syndrome in Japanese men...