Retrospective cohort analysis of Spanish national trends of coronary artery bypass grafting and percutaneous coronary intervention from 1998 to 2017
Autor: | Jose Albors Martin, Cristina Villamor, Luis Carlos Maroto Castellanos, Miguel Piñón, Manuel Carnero Alcázar, Daniel Hernández-Vaquero, Alberto Forteza, Hector Cubero-Gallego, José López Menéndez, Isaac Pascual, Gregorio Cuerpo Caballero, Javier Cobiella Carnicer |
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Přispěvatelé: | UAM. Departamento de Cirugía |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Medicina medicine.medical_treatment Coronary Artery Disease 030204 cardiovascular system & hematology Cardiovascular Medicine Cohort Studies 03 medical and health sciences 0302 clinical medicine Percutaneous Coronary Intervention Internal medicine medicine Humans 030212 general & internal medicine Myocardial infarction cardiovascular diseases coronary heart disease Coronary Artery Bypass cardiac epidemiology Retrospective Studies business.industry Public health public health Percutaneous coronary intervention Retrospective cohort study General Medicine medicine.disease Cardiac surgery medicine.anatomical_structure surgical procedures operative Treatment Outcome Spain Conventional PCI Cardiology Medicine coronary intervention Risk adjusted mortality rate business cardiac surgery Artery |
Zdroj: | BMJ Open Biblos-e Archivo. Repositorio Institucional de la UAM instname BMJ Open, Vol 11, Iss 4 (2021) |
ISSN: | 2044-6055 |
Popis: | IntroductionSpain is one of the countries with the lowest rates of revascularisation and highest ratio of percutaneous coronary intervention (PCI) to coronary artery bypass grafting (CABG).ObjectivesTo investigate the changes and trends in the two revascularisation procedures between 1998 and 2017 in Spain.DesignRetrospective cohort study. Analysis of in-hospital outcomes.SettingMinimum basic data set from the Spanish National Department of Health: mandatory database collecting information of patients who are attended in the Spanish public National Health System.Participants603 976 patients who underwent isolated CABG or PCI in the Spanish National Health System. The study period was divided in four 5-year intervals. Patients with acute myocardial infarction on admission were excluded.Primary and secondary outcomesWe investigated the volume of procedures nationwide, the changes of the risk profile of patients and in-hospital mortality of both techniques.ResultsWe observed a 2.2-fold increase in the rate of any type of myocardial revascularisation per million inhabitants-year: 357 (1998) to 776 (2017). 93 682 (15.5%) had a coronary surgery. PCI to CABG ratio rose from 2.2 (1998–2002) to 8.1 (2013–2017). Charlson’s index increased by 0.8 for CABG and 1 for PCI. The median annual volume of PCI/hospital augmented from 136 to 232, while the volume of CABG was reduced from 137 to 74. In the two decades, we detected a significant reduction of CABG in-hospital mortality (6.5% vs 2.6%, pConclusionWe detected a significant increase in the volume of revascularisations (particularly PCI) in Spain. Risk-adjusted in-hospital mortality was significantly reduced. |
Databáze: | OpenAIRE |
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