Statistical Analysis of Invasive Cardiology for Austria in 1992 as an Approach to Quality Assessment
| Autor: | O. Pachinger, V. Mühlberger, P. Probst |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Quality Control
medicine.medical_specialty Quality management Percutaneous medicine.medical_treatment Angioscopy Catheterization Atherectomy Surveys and Questionnaires Humans Medicine Radiology Nuclear Medicine and imaging Myocardial infarction Mortality Ultrasonography Interventional medicine.diagnostic_test Interventional cardiology business.industry General surgery Angiography Stent medicine.disease Surgery Bypass surgery Austria Catheter Ablation Morbidity Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Interventional Cardiology. 7:17-24 |
| ISSN: | 1540-8183 0896-4327 |
| DOI: | 10.1111/j.1540-8183.1994.tb00884.x |
| Popis: | Quality Control in Interventional Cardiology requires perfect documentation. We, therefore, report a mutual controlling system, which has been initiated in Austria 3 years ago. An all round inquiry within all the 28 Austrian catheterization laboratories was successful with a feedback rate of 100%, controlled by visiting the centers, random tests, and several phone calls. This year was the first time that an entire European country followed the guidelines for statistical documentation that the European Society of Cardiology has suggested. Within the year 1992, 3,780 percutaneous coronary ungioplasties were performed in Austria, which is 19.7% more, compared to the year before. At the same time 18,806 coronary angiographies, 102 percutaneous valvuloplasties, and 138 electrophysiological ablations took place. Austria reached 84% of the number of angiographies and 50% of the percutaneous transluminal coronary angioplasty (PTCA) numbers, the World Health Organization (WHO) has provided for a country of 7.82 million inhabitants. One hundred and fifty-two “new devices” (stent/n = 89, atherectomy/n = 44, laser/n = 6, etc.) were used during this year, which was 4.0% of all PTCA procedures. Angioscopy (n = 11) and intracoronary ultrasound (n = 82) accounted for another 2.5% of “new devices”. Complication rate was 0.48% hospital deaths, 0.93% emergency bypass surgery, and 1.88% myocardial infarction in 3,780 PTCAs. The individual data of each center were treated confidentially and anonymously and the e valuated questionnaire was sent back to the respective center only, including an individual recommendation for quality improvement. We believe, that this campaign is a valuable and successful first step for quality control in interventional cardiology. We are looking forward corn-paring our results with those of other European countries and with our own results next year. |
| Databáze: | OpenAIRE |
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