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Volume-outcome relation for contemporary percutaneous coronary interventions (PCI) in daily clinical practice: is it limited to high-risk patients? Results from the Registry of Percutaneous Coronary Interventions of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK)

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Volume-outcome relation for contemporary percutaneous coronary interventions (PCI) in daily clinical practice: is it limited to high-risk patients? Results from the Registry of Percutaneous Coronary Interventions of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK). / Zahn, R; Gottwik, M; Hochadel, M; Senges, J; Zeymer, U; Vogt, A; Meinertz, T; Dietz, R; Hauptmann, K E; Grube, E; Kerber, S; Sechtem, U; Registry of Percutaneous Coronary Interventions of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK).

In: HEART, Vol. 94, No. 3, 03.2008, p. 329-335.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Zahn, R, Gottwik, M, Hochadel, M, Senges, J, Zeymer, U, Vogt, A, Meinertz, T, Dietz, R, Hauptmann, KE, Grube, E, Kerber, S, Sechtem, U & Registry of Percutaneous Coronary Interventions of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK) 2008, 'Volume-outcome relation for contemporary percutaneous coronary interventions (PCI) in daily clinical practice: is it limited to high-risk patients? Results from the Registry of Percutaneous Coronary Interventions of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK)', HEART, vol. 94, no. 3, pp. 329-335. https://doi.org/10.1136/hrt.2007.118737

APA

Zahn, R., Gottwik, M., Hochadel, M., Senges, J., Zeymer, U., Vogt, A., Meinertz, T., Dietz, R., Hauptmann, K. E., Grube, E., Kerber, S., Sechtem, U., & Registry of Percutaneous Coronary Interventions of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK) (2008). Volume-outcome relation for contemporary percutaneous coronary interventions (PCI) in daily clinical practice: is it limited to high-risk patients? Results from the Registry of Percutaneous Coronary Interventions of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK). HEART, 94(3), 329-335. https://doi.org/10.1136/hrt.2007.118737

Vancouver

Zahn R, Gottwik M, Hochadel M, Senges J, Zeymer U, Vogt A et al. Volume-outcome relation for contemporary percutaneous coronary interventions (PCI) in daily clinical practice: is it limited to high-risk patients? Results from the Registry of Percutaneous Coronary Interventions of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK). HEART. 2008 Mar;94(3):329-335. https://doi.org/10.1136/hrt.2007.118737

Bibtex

@article{a6ef4e78c1194736a007b467e11d6db4,
title = "Volume-outcome relation for contemporary percutaneous coronary interventions (PCI) in daily clinical practice: is it limited to high-risk patients? Results from the Registry of Percutaneous Coronary Interventions of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK)",
abstract = "OBJECTIVE: The formerly observed volume-outcome relation for percutaneous coronary interventions (PCIs) has recently been questioned.DESIGN: We analysed data of the PCI registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhaus{\"a}rzte.PATIENTS: In 2003 a total of 27 965 patients at 67 hospitals were included.RESULTS: The median PCI volume per hospital was 327. In-hospital mortality was 1.85% in hospitals belonging to the lowest PCI volume quartile and 1.21% in the highest quartile (p for trend <0.001). Two groups of patients were then compared according to their treatment at hospitals with either <325 PCIs (n = 5754) or >325 PCIs (n = 22 211) per year. Logistic regression analysis showed that a PCI performed at hospitals with a volume of >325 PCI/year was independently associated with a lower hospital mortality (OR = 0.67, 95% CI: 0.52 to 0.87; p = 0.002). If PCI was performed in patients with acute myocardial infarction there was a significant decline in mortality with increasing volume (p for trend = 0.004); however, there was no association in patients without a myocardial infarction.CONCLUSIONS: This analysis of contemporary PCI in clinical practice shows a small but significant volume-outcome relation for in-hospital mortality. However, this relation was only apparent in high-risk subgroups, such as patients presenting with acute myocardial infarction.",
keywords = "Aged, Angioplasty, Balloon, Coronary/methods, Epidemiologic Methods, Female, Hospital Mortality, Humans, Male, Middle Aged, Myocardial Infarction/mortality",
author = "R Zahn and M Gottwik and M Hochadel and J Senges and U Zeymer and A Vogt and T Meinertz and R Dietz and Hauptmann, {K E} and E Grube and S Kerber and U Sechtem and {Registry of Percutaneous Coronary Interventions of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK)}",
year = "2008",
month = mar,
doi = "10.1136/hrt.2007.118737",
language = "English",
volume = "94",
pages = "329--335",
journal = "HEART",
issn = "1355-6037",
publisher = "BMJ PUBLISHING GROUP",
number = "3",

}

RIS

TY - JOUR

T1 - Volume-outcome relation for contemporary percutaneous coronary interventions (PCI) in daily clinical practice: is it limited to high-risk patients? Results from the Registry of Percutaneous Coronary Interventions of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK)

AU - Zahn, R

AU - Gottwik, M

AU - Hochadel, M

AU - Senges, J

AU - Zeymer, U

AU - Vogt, A

AU - Meinertz, T

AU - Dietz, R

AU - Hauptmann, K E

AU - Grube, E

AU - Kerber, S

AU - Sechtem, U

AU - Registry of Percutaneous Coronary Interventions of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK)

PY - 2008/3

Y1 - 2008/3

N2 - OBJECTIVE: The formerly observed volume-outcome relation for percutaneous coronary interventions (PCIs) has recently been questioned.DESIGN: We analysed data of the PCI registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausärzte.PATIENTS: In 2003 a total of 27 965 patients at 67 hospitals were included.RESULTS: The median PCI volume per hospital was 327. In-hospital mortality was 1.85% in hospitals belonging to the lowest PCI volume quartile and 1.21% in the highest quartile (p for trend <0.001). Two groups of patients were then compared according to their treatment at hospitals with either <325 PCIs (n = 5754) or >325 PCIs (n = 22 211) per year. Logistic regression analysis showed that a PCI performed at hospitals with a volume of >325 PCI/year was independently associated with a lower hospital mortality (OR = 0.67, 95% CI: 0.52 to 0.87; p = 0.002). If PCI was performed in patients with acute myocardial infarction there was a significant decline in mortality with increasing volume (p for trend = 0.004); however, there was no association in patients without a myocardial infarction.CONCLUSIONS: This analysis of contemporary PCI in clinical practice shows a small but significant volume-outcome relation for in-hospital mortality. However, this relation was only apparent in high-risk subgroups, such as patients presenting with acute myocardial infarction.

AB - OBJECTIVE: The formerly observed volume-outcome relation for percutaneous coronary interventions (PCIs) has recently been questioned.DESIGN: We analysed data of the PCI registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausärzte.PATIENTS: In 2003 a total of 27 965 patients at 67 hospitals were included.RESULTS: The median PCI volume per hospital was 327. In-hospital mortality was 1.85% in hospitals belonging to the lowest PCI volume quartile and 1.21% in the highest quartile (p for trend <0.001). Two groups of patients were then compared according to their treatment at hospitals with either <325 PCIs (n = 5754) or >325 PCIs (n = 22 211) per year. Logistic regression analysis showed that a PCI performed at hospitals with a volume of >325 PCI/year was independently associated with a lower hospital mortality (OR = 0.67, 95% CI: 0.52 to 0.87; p = 0.002). If PCI was performed in patients with acute myocardial infarction there was a significant decline in mortality with increasing volume (p for trend = 0.004); however, there was no association in patients without a myocardial infarction.CONCLUSIONS: This analysis of contemporary PCI in clinical practice shows a small but significant volume-outcome relation for in-hospital mortality. However, this relation was only apparent in high-risk subgroups, such as patients presenting with acute myocardial infarction.

KW - Aged

KW - Angioplasty, Balloon, Coronary/methods

KW - Epidemiologic Methods

KW - Female

KW - Hospital Mortality

KW - Humans

KW - Male

KW - Middle Aged

KW - Myocardial Infarction/mortality

U2 - 10.1136/hrt.2007.118737

DO - 10.1136/hrt.2007.118737

M3 - SCORING: Journal article

C2 - 17664190

VL - 94

SP - 329

EP - 335

JO - HEART

JF - HEART

SN - 1355-6037

IS - 3

ER -