Decline in the nationwide trends in in-hospital mortality of patients undergoing multivessel percutaneous coronary intervention.

Published

Journal Article

BACKGROUND: Advances in the safety of percutaneous coronary interventions have been significant in recent years. The goal of this study was to evaluate any decline in the age-adjusted in-hospital mortality rate in patients undergoing multivessel percutaneous coronary intervention (MVPCI) using a very large database from 1988 to 2004 in the United States. METHOD: The Nationwide Inpatient Sample (NIS) database was utilized to calculate the age-adjusted mortality rate for MVPCI from 1988 to 2004 in patients over the age of 40 years retrospectively. Specific ICD-9-CM codes for MVPCI were used for this study. Patient demographic data were also analyzed and adjusted for age from the database. RESULTS: The mean age was 71.56 +/- 10.59 years (53.55% male). From 1988 the age-adjusted mortality rate was stable until 1999, with a steady decline to the lowest level in 2004. In 1988, the rate was 67.42 (95% CI = 181-316.14), in 1999 51.02 (95% CI = 27-129.32), and in 2004, 40.06 (95% CI 5.6-85.83) per 100,000. Total death also declined from 1.77% to 1.25%. This trend was similar across gender and ethnicities. CONCLUSION: The age-adjusted mortality from MVPCI was steady until 1999, but declined to the lowest level in 2004. This trend most likely reflects advancements in the care of patients undergoing high-risk coronary interventions.

Full Text

Duke Authors

Cited Authors

  • Movahed, MR; Ramaraj, R; Jamal, MM; Hashemzadeh, M

Published Date

  • August 2009

Published In

Volume / Issue

  • 21 / 8

Start / End Page

  • 388 - 390

PubMed ID

  • 19652251

Pubmed Central ID

  • 19652251

Electronic International Standard Serial Number (EISSN)

  • 1557-2501

Language

  • eng

Conference Location

  • United States