Journal article
Coronary Atherectomy in the United States (from a Nationwide Inpatient Sample)
The American journal of cardiology, Vol.117(4), pp.555-562
02/15/2016
DOI: 10.1016/j.amjcard.2015.11.041
PMID: 26732421
Abstract
Contemporary real-world data on clinical outcomes after utilization of coronary atherectomy are sparse. The study cohort was derived from Healthcare Cost and Utilization Project Nationwide Inpatient Sample database from year 2012. Percutaneous coronary interventions including atherectomy were identified using appropriate International Classification of Diseases, 9th Revision diagnostic and procedural codes. Two-level hierarchical multivariate mixed models were created. The primary outcome was a composite of in-hospital mortality and periprocedural complications; the secondary outcome was in-hospital mortality. Hospitalization costs were also assessed. A total of 107,131 procedures were identified in 2012. Multivariate analysis revealed that atherectomy utilization was independently predictive of greater primary composite outcome of in-hospital mortality and complications (odds ratio 1.34, 95% confidence interval 1.22 to 1.47, p <0.001) but was not associated with any significant difference in terms of in-hospital mortality alone (odds ratio 1.22, 95% confidence interval 0.99 to 1.52, p 0.063). In the propensity-matched cohort, atherectomy utilization was again associated with a higher rate of complications (12.88% vs 10.99%, p = 0.001), in-hospital mortality +a ny complication (13.69% vs 11.91%, p = 0.003) with a nonsignificant difference in terms of in-hospital mortality alone (3.45% vs 2.88%, p = 0.063) and higher hospitalization costs ($25,341 ± 353 vs $21,984 ± 87, p <0.001). Atherectomy utilization during percutaneous coronary intervention is associated with a higher rate of postprocedural complications without any significant impact on in-hospital mortality.
Details
- Title: Subtitle
- Coronary Atherectomy in the United States (from a Nationwide Inpatient Sample)
- Creators
- Shilpkumar Arora - Internal Medicine Department, Mount Sinai St. Luke's Roosevelt Hospital, New York, New YorkSidakpal S Panaich - Cardiology Department, Borges Medical Center, Kalamazoo, MichiganNilay Patel - Internal Medicine Department, Saint Peter's University Hospital, New Brunswick, New JerseyNileshkumar J Patel - Cardiology Department, University of Miami Miller School of Medicine, Miami, FloridaChirag Savani - Epidemiology Department, New York Medical College, Valhalla, New YorkSamir V Patel - Internal Medicine Department, Western Reserve Health System, Youngstown, OhioBadal Thakkar - Epidemiology Department, Tulane School of Public Health & Tropical Medicine, New Orleans, LouisianaRajesh Sonani - Public Health Department, Emory University School of Medicine, Atlanta, GeorgiaSunny Jhamnani - Cardiology Department, Yale School of Medicine, New Haven, ConnecticutVikas Singh - Cardiology Department, University of Miami Miller School of Medicine, Miami, FloridaSopan Lahewala - Internal Medicine Department, Jersey City Medical Center, Jersey City, New JerseyAchint Patel - Public Health Department, Icahn School of Medicine at Mount Sinai, New York, New YorkParth Bhatt - Epidemiology Department, Tulane School of Public Health & Tropical Medicine, New Orleans, LouisianaHarshil Shah - Internal Medicine Department, St. Anthony's Hospital, Oklahoma City, OklahomaRadhika Jaiswal - John H Stroger, Jr. Hospital of Cook County, Chicago, IllinoisVishal Gupta - Cardiology Department, Borges Medical Center, Kalamazoo, MichiganAbhishek Deshmukh - Cardiology Department, Mayo Clinic, Rochester, MinnesotaAshok Kondur - Cardiology Department, Detroit Medical Center, Detroit, MichiganTheodore Schreiber - Cardiology Department, Detroit Medical Center, Detroit, MichiganApurva O Badheka - Interventional Cardiology Division, Cardiology Department, The Everett Clinic, Everett, Washington. Electronic address: abadheka@everettclinic.comCindy Grines - Cardiology Department, Detroit Medical Center, Detroit, Michigan
- Resource Type
- Journal article
- Publication Details
- The American journal of cardiology, Vol.117(4), pp.555-562
- DOI
- 10.1016/j.amjcard.2015.11.041
- PMID
- 26732421
- ISSN
- 0002-9149
- eISSN
- 1879-1913
- Language
- English
- Date published
- 02/15/2016
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984094396302771
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