Abstract
Abstract 9578: Cholesterol Embolization Syndrome Among Patients With Acute Coronary Syndrome Post-Percutaneous Coronary Intervention: A National Inpatient Analysis
Circulation (New York, N.Y.), Vol.144(Suppl_1), pp.A9578-A9578
11/16/2021
DOI: 10.1161/circ.144.suppl_1.9578
Abstract
Introduction: Percutaneous coronary intervention (PCI) is associated with an increased risk of cholesterol embolization syndrome (CES), accounting for approximately 70% of iatrogenic cholesterol embolization. The clinical outcomes of patients with acute coronary syndrome (ACS), who develop CES post-PCI is yet to be explored on a national scale.
Objectives: To evaluate the length of hospital stay (LOS), cost of hospitalization; proportion of patients with acute kidney injury (AKI), sepsis, cardiogenic shock and in-hospital mortality among those with ACS who develop CES post-PCI.
Methods: Adults who had a diagnosis of ACS and PCI done who eventually had CES, were identified from the National In-Patient Sample (NIS) dataset between 2016-2018 using ICD10 codes. Weighted multivariable logistic and linear regression models were used as appropriate. Various sociodemographic, clinical and hospital level factors were adjusted for in the analysis.
Results: Of the 365 patients who had ACS and developed CES post-PCI; 48% were women, 76.7% were non-Hispanic White and the average age was 69.5 years. The mean LOS was 8.2 days and the mean cost of hospitalization was $99,958.02. Overall, 32.9% of the patients developed AKI, 6.8% developed sepsis, 4.1% subsequently had cardiogenic shock and 11% had in-hospital mortality.
Conclusions: Our study highlights important patient characteristics, resource utilization and clinical outcomes among patients with ACS who develop CES post-PCI, which provides relevant information needed to generate hypothesis linked to this disease condition.
Details
- Title: Subtitle
- Abstract 9578: Cholesterol Embolization Syndrome Among Patients With Acute Coronary Syndrome Post-Percutaneous Coronary Intervention: A National Inpatient Analysis
- Creators
- Oseiwe B Eromosele - University College Hospital, IbadanIRIAGBONSE AsemotaISRAEL SafiriyuAdemola Ajibade - Dominica State CollegeOluwole S Abib - AIDS Prevention Initiative in NigeriaAbiodun B Idowu - Lagos University Teaching HospitalOlayinka I Adebolu - Cleveland ClinicNelson C Okoh - University of DebrecenAbdulkareem Lukan - Redwood clinics, AbeokutaOluwafisayo S Fasanmi - Urology San AntonioOladipo Odeyinka - University College Hospital, IbadanOmofolarin Babayale - Crimea State Medical University named after S. I. GeorgievskyHawa O Abu - Saint Vincent Health System
- Resource Type
- Abstract
- Publication Details
- Circulation (New York, N.Y.), Vol.144(Suppl_1), pp.A9578-A9578
- DOI
- 10.1161/circ.144.suppl_1.9578
- ISSN
- 0009-7322
- eISSN
- 1524-4539
- Publisher
- Lippincott Williams & Wilkins
- Language
- English
- Date published
- 11/16/2021
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984845664302771
Metrics
1 Record Views