Follow-up tests and outcomes for patients undergoing percutaneous coronary intervention: analysis of a Japanese administrative database
| Autor: | Ryusuke Miki, Masato Takeuchi, Koji Kawakami, Tomotsugu Seki |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Coronary Artery Disease 030204 cardiovascular system & hematology Lower risk Coronary Angiography Risk Assessment Coronary artery disease 03 medical and health sciences 0302 clinical medicine Percutaneous Coronary Intervention Japan Risk Factors Cause of Death Medicine Humans 030212 general & internal medicine Myocardial infarction Registries Aged Retrospective Studies business.industry Proportional hazards model Incidence Hazard ratio Percutaneous coronary intervention Vascular surgery Middle Aged medicine.disease Survival Rate Treatment Outcome Emergency medicine Conventional PCI Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Heart and vessels. 34(1) |
| ISSN: | 1615-2573 |
| Popis: | Follow-up tests after percutaneous coronary intervention (PCI) are considered inappropriate for asymptomatic patients. Despite this perception, many cardiologists conduct follow-up tests as routine practice. The objective of this study was to investigate the survival benefits of follow-up testing after PCI in a real-world setting in Japan. A nationwide Japanese administrative database was used to identify unselected patients who underwent PCI with stent implantation between January 2010 and December 2013. We used time-dependent Cox proportional hazards models to evaluate the association between follow-up testing and outcomes. The primary outcome was the composite of all-cause death and acute myocardial infarction (AMI). Among a total of 21,409 patients, 15,095 (70.5%) completed follow-up testing, of whom 9814 (45.0%) underwent coronary angiography. During a median of 2.7 years of observation, the primary outcome occurred less frequently for patients who underwent follow-up testing (1.21 vs. 4.51% per year; adjusted hazard ratio, 0.59; 95% CI 0.52–0.67; p |
| Databáze: | OpenAIRE |
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