Journal article
Impact of Hospital Volume on Outcomes of Endovascular Stenting for Adult Aortic Coarctation
The American journal of cardiology, Vol.116(9), pp.1418-1424
11/01/2015
DOI: 10.1016/j.amjcard.2015.07.066
PMID: 26471501
Abstract
Use of transcatheter endovascular stenting has been increasing in the treatment of coarctation of aorta (CoA). The present study was undertaken on adults with CoA who underwent stent placement from 2000 to 2011 to analyze the relation of hospital volumes to the outcomes of stenting in adults with CoA. It was a retrospective study based on Healthcare Cost and Utilization Project's Nationwide Inpatient Sample (NIS) database from 2000 to 2011 and identified subjects using the International Classification of Diseases, Ninth Revision, Clinical Modification procedure code of 747.10 (CoA). Annual hospital volume was calculated using unique hospital identifiers. Weights provided by the Nationwide Inpatient Sample were used to generate national estimates. A total of 105 (weighted 521) subjects were identified with International Classification of Diseases, Ninth Revision, code of 39.90 (Endovascular stent). Hospital volumes were divided into tertiles. We compared the highest tertile (≥3 procedures annually) with other tertiles (<3 procedure annually). The composite outcomes of the analysis were procedure-related complications, length of stay (LOS), and cost in relation to the hospital volume. No inhospital death was reported in either group. Hospitals with ≥3 procedures annually had significantly lower incidence of complications (9.5% vs 23.0%) compared to the hospitals with <3 procedures annually (p-value 0.002). Similar results were obtained after multivariate regression analysis in relation to hospital volume. Shorter LOS and lower cost were observed with annual hospital volume of ≥3 procedures. In conclusion, stenting adults for CoA is remarkably safe, and the outcomes of the procedure have improved in centers with annual hospital volume of ≥3 procedures. There is also decreasing trend of procedure-related complications, shorter LOS, and lower costs compared to centers with annual volume <3 procedures.
Details
- Title: Subtitle
- Impact of Hospital Volume on Outcomes of Endovascular Stenting for Adult Aortic Coarctation
- Creators
- Parth Bhatt - Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, New Orleans, LouisianaNileshkumar J Patel - Cardiology Department, University of Miami Miller School of Medicine, Miami, FloridaAchint Patel - Department of Public Health, Icahn School of Medicine at Mt. Sinai, New York, New YorkRajesh Sonani - Department of Internal Medicine, Emory University School of Medicine, Atlanta, GeorgiaAashay Patel - Department of Cardiology, University of Alabama, Birmingham, AlabamaSidakpal S Panaich - Interventional Cardiology Department, Borgess Medical Center, Kalamazoo, MichiganBadal Thakkar - Department of Cardiology, Baylor College of Medicine, Houston, TexasChirag Savani - Department of Public Health, New York Medical College, Valhalla, New YorkSunny Jhamnani - Interventional Cardiology Division, The Everett Clinic, Everett, WashingtonNilay Patel - Department of Internal Medicine, Saint Peter's University Hospital, New Brunswick, New JerseyNish Patel - Cardiology Department, University of Miami Miller School of Medicine, Miami, FloridaSadip Pant - Department of Cardiology, University of Kentucky, Louisville, KentuckySamir Patel - Department of Internal Medicine, Western Reserve Health System, Youngstown, OhioShilpkumar Arora - Department of Internal Medicine/Cardiology, Mount Sinai St Luke's Roosevelt, New York, New YorkAbhishek Dave - Department of Public Health, Texas A&M Health Science Center School of Public Health, College Station, TexasVikas Singh - Cardiology Department, University of Miami Miller School of Medicine, Miami, FloridaAnkit Chothani - Department of Internal Medicine/Cardiology, Mount Sinai St Luke's Roosevelt, New York, New YorkJay Patel - Department of Internal Medicine, MacNeal Hospital, Berwyn, IllinoisMohammad Ansari - Department of Cardiology, Citrus Memorial Hospital, Inverness, FloridaAbhishek Deshmukh - Department of Cardiology, Mayo Clinic, Rochester, MinnesotaRonak Bhimani - Department of Internal Medicine, St. Vincent Charity Medical Center, Cleveland, OhioCindy Grines - Department of Cardiology, Detroit Medical Center, Detroit, MichiganMichael Cleman - Department of Cardiology, Yale School of Medicine, New Heaven, ConnecticutAbeel Mangi - Department of Cardiology, Yale School of Medicine, New Heaven, ConnecticutJohn K Forrest - Department of Cardiology, Yale School of Medicine, New Heaven, ConnecticutApurva O Badheka - Interventional Cardiology Division, The Everett Clinic, Everett, Washington
- Resource Type
- Journal article
- Publication Details
- The American journal of cardiology, Vol.116(9), pp.1418-1424
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.amjcard.2015.07.066
- PMID
- 26471501
- ISSN
- 0002-9149
- eISSN
- 1879-1913
- Language
- English
- Date published
- 11/01/2015
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984094549502771
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