Percutaneous Coronary Intervention at Centers With and Without On-site Surgery: A Meta-analysis.

Autor: Singh, Mandeep, Holmes Jr., David R., Dehmer, Gregory J., Lennon, Ryan J., Wharton, Thomas P., Kutcher, Michael A., Aversano, Thomas, Rihal, Charanjit S.
Předmět:
Zdroj: JAMA: Journal of the American Medical Association; 12/14/2011, Vol. 306 Issue 22, p2487-2494, 8p, 1 Diagram, 4 Charts, 1 Graph
Abstrakt: The article analyzes studies comparing rates of in-hospital mortality and emergency percutaneous coronary artery bypass grafting (CABG) surgery at centers with and without on-site surgery. Analysis revealed a 4.6 percent average mortality rate in patients undergoing primary percutaneous coronary intervention (PCI) across studies for sites with on-site surgery and 5.1 percent for sites with on-site surgery. The average mortality rate in patients undergoing non-primary PCI for sites without on-site surgery was 0.9 percent and 0.8 percent for sites with on-site surgery. Evaluation showed low incidence of emergency CABG for both primary and non-primary PCI at centers without on-site surgery.
Databáze: Complementary Index