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In-hospital outcomes after percutaneous coronary intervention in Canada: 1992/93 to 2000/01.

https://arctichealth.org/en/permalink/ahliterature184873
Source
Can J Cardiol. 2003 Jun;19(7):782-9
Publication Type
Article
Date
Jun-2003
Author
Shelina M Jamal
Fiona M Shrive
William A Ghali
Merrill L Knudtson
Mark J Eisenberg
Author Affiliation
Division of Cardiology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Source
Can J Cardiol. 2003 Jun;19(7):782-9
Date
Jun-2003
Language
English
Publication Type
Article
Keywords
Adult
Age Distribution
Aged
Angioplasty, Balloon, Coronary - mortality
Canada - epidemiology
Comorbidity
Coronary Artery Bypass - mortality
Diabetes Mellitus - epidemiology
Female
Hospital Mortality - trends
Humans
Male
Middle Aged
Outcome Assessment (Health Care)
Patient Discharge - statistics & numerical data
Patient Readmission - statistics & numerical data
Prevalence
Risk Adjustment
Abstract
Despite existing research on outcomes of cardiac care in Canada, little is known about Canada-wide trends and interprovincial differences in outcomes after percutaneous coronary intervention (PCI).
To examine Canadian trends in rates of in-hospital mortality and same-admission coronary artery bypass grafting (CABG) after PCI and to compare provincial risk-adjusted in-hospital death and same-admission CABG rates.
Hospital discharge abstract data were obtained from the Canadian Institute for Health Information and were used to identify cohorts of patients who underwent PCI in eight provinces in fiscal years 1992/93 through 2000/01. Crude data from Quebec hospitals were available for calendar years 1998 and 1999. Logistic regression modelling was used to calculate risk-adjusted in-hospital death and same-admission CABG rates by year and province.
A total of 127,103 PCI cases performed in 23 hospitals across eight provinces were examined, with an overall unadjusted death rate of 1.4% and an overall unadjusted CABG rate of 1.6%. A national trend of stable in-hospital mortality rates was observed with a risk-adjusted death rate of 1.4% in 1992/93 versus 1.4% in 2000/01. An overall decline was seen in rates of same-admission CABG with a risk-adjusted rate of 2.7% in 1992/93 versus 0.9% in 2000/01 (relative decrease 67%, P
PubMed ID
12813611 View in PubMed
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