Multivessel Percutaneous Coronary Interventions in the United States: Insights From the Nationwide Inpatient Sample

Shilpkumar Arora; Sidakpal S Panaich; Nileshkumar J Patel; Nilay Patel; Shantanu Solanki; Abhishek Deshmukh; Vikas Singh; Sopan Lahewala; Chirag Savani; Badal Thakkar; Abhishek Dave; Achint Patel; Parth Bhatt; Rajesh Sonani; Aashay Patel; Michael Cleman; John K Forrest; Theodore Schreiber; Apurva O Badheka; Cindy Grines

doi:10.1177/0003319715593853

Back

Multivessel Percutaneous Coronary Interventions in the United States: Insights From the Nationwide Inpatient Sample

Journal article

Peer reviewed

Multivessel Percutaneous Coronary Interventions in the United States: Insights From the Nationwide Inpatient Sample

Shilpkumar Arora, Sidakpal S Panaich, Nileshkumar J Patel, Nilay Patel, Shantanu Solanki, Abhishek Deshmukh, Vikas Singh, Sopan Lahewala, Chirag Savani, Badal Thakkar, …

Angiology, Vol.67(4), pp.326-335

04/2016

DOI: 10.1177/0003319715593853

PMID: 26145455

View Online

Abstract

Multivessel coronary artery disease carries significant mortality risk. Comprehensive data on inhospital outcomes following multivessel percutaneous coronary intervention (MVPCI) are sparse. We queried the Healthcare Cost and Utilization Project's nationwide inpatient sample (NIS) between 2006 and 2011 using different International Classification of Diseases, 9th Revision, Clinical Modification procedure codes. The primary outcome was inhospital all-cause mortality, and the secondary outcome was a composite of inhospital mortality and periprocedural complications. The overall mortality was low at 0.73% following MVPCI. Multivariate analysis revealed that (odds ratio, 95% confidence interval, P value) age (1.63, 1.48-1.79; <.001), female sex (1.19, 1.00-1.42; P = .05), acute myocardial infarction (AMI; 2.97, 2.35-3.74; <.001), shock (17.24, 13.61-21.85; <.001), a higher burden of comorbidities (2.09, 1.32-3.29; .002), and emergent/urgent procedure status (1.67, 1.30-2.16; <.001) are important predictors of primary and secondary outcomes. MVPCI was associated with higher mortality, length of stay (LOS), and cost of care as compared to single vessel single stent PCI. MVPCI is associated with higher inhospital mortality, LOS, and hospitalization costs compared to single vessel, single stent PCI. Higher volume hospitals had lower overall postprocedural mortality rate along with shorter LOS and lower hospitalization costs following MVPCI.

Length of Stay

Hospital Mortality

Percutaneous Coronary Intervention - mortality

United States

Humans

Middle Aged

Male

Coronary Artery Disease - mortality

Inpatients - statistics & numerical data

Young Adult

Adolescent

Aged, 80 and over

Adult

Female

Aged

Stents - adverse effects

Details

Title: Subtitle: Multivessel Percutaneous Coronary Interventions in the United States: Insights From the Nationwide Inpatient Sample
Creators: Shilpkumar Arora - Internal Medicine Department, Mount Sinai St Luke's Roosevelt Hospital, New York, NY, USA
Sidakpal S Panaich - Cardiovascular Department, Detroit Medical Center, Detroit, MI, USA
Nileshkumar J Patel - Internal Medicine Department, Staten Island University Hospital, Staten Island, NY, USA
Nilay Patel - Internal Medicine Department, Saint Peter's University Hospital, New Brunswick, NJ, USA
Shantanu Solanki - Internal Medicine Department, Icahn School of Medicine at Mount Sinai, New York, NY, USA
Abhishek Deshmukh - Cardiology Department, Mayo Clinic, Rochester, MN, USA
Vikas Singh - Cardiology Department, University of Miami Miller School of Medicine, Miami, FL, USA
Sopan Lahewala - Internal Medicine Department, Mount Sinai Hospital Center, New York, NY, USA
Chirag Savani - Internal Medicine Department, New York Medical College, Valhalla, NY, USA
Badal Thakkar - Internal Medicine Department, Tulane University School of Public Health & Tropical Medicine, New Orleans, LA, USA
Abhishek Dave - Internal Medicine Department, Texas A&M University, College Station, TX, USA
Achint Patel - Internal Medicine Department, Icahn School of Medicine at Mount Sinai, New York, NY, USA
Parth Bhatt - Internal Medicine Department, Tulane University School of Public Health & Tropical Medicine, New Orleans, LA, USA
Rajesh Sonani - Internal Medicine Department, Emory University School of Medicine, Atlanta, GA, USA
Aashay Patel - Internal Medicine Department, Lankenau Institute for Medical Research, Wynnewood, PA, USA
Michael Cleman - Cardiology Department, Yale School of Medicine, New Haven, CT, USA
John K Forrest - Cardiology Department, Yale School of Medicine, New Haven, CT, USA
Theodore Schreiber - Cardiovascular Department, Detroit Medical Center, Detroit, MI, USA
Apurva O Badheka - Cardiology Department, Yale School of Medicine, New Haven, CT, USA apurva.badheka@yale.edu
Cindy Grines - Cardiovascular Department, Detroit Medical Center, Detroit, MI, USA
Resource Type: Journal article
Publication Details: Angiology, Vol.67(4), pp.326-335
DOI: 10.1177/0003319715593853
PMID: 26145455
ISSN: 0003-3197
eISSN: 1940-1574
Language: English
Date published: 04/2016
Academic Unit: Cardiovascular Medicine; Internal Medicine
Record Identifier: 9984094386502771

Metrics

14 Record Views

4 Times Cited - Web of Science