In-Hospital Mortality Higher for PCI at Safety Net Hospitals

Share this content:
In-Hospital Mortality Higher for PCI at Safety Net Hospitals
In-Hospital Mortality Higher for PCI at Safety Net Hospitals

TUESDAY, Aug. 8, 2017 (HealthDay News) -- For patients undergoing percutaneous coronary intervention (PCI), risk-adjusted in-hospital mortality is significantly increased at safety-net hospitals (SNHs), although the absolute difference is small, according to a study published in the Aug. 14 issue of JACC: Cardiovascular Interventions.

Tushar Acharya, M.D., from the University of California in San Francisco, and colleagues analyzed 3,746,961 patients who underwent PCI at 282 SNHs and 1,134 non-SNHs. The authors examined the correlation between SNH status and risk-adjusted outcomes.

The researchers found that patients treated at SNHs were significantly more likely to be younger, nonwhite, smokers, to be admitted through the emergency department, and to have an ST-segment elevation myocardial infarction than those treated at non-SNHs (all P < 0.001). Risk-adjusted in-hospital mortality was higher for patients undergoing PCI at SNHs (odds ratio, 1.23; 95 percent confidence interval, 1.17 to 1.32; P < 0.001), although the difference between the groups was small (0.4 percent). Similar rates of risk-adjusted bleeding (odds ratio, 1.05; 95 percent confidence interval, 1.00 to 1.12; P = 0.062) and acute kidney injury (odds ratio, 1.01; 95 percent confidence interval, 0.96 to 1.07; P = 0.51) were seen.

"Despite treating a higher proportion of uninsured patients with more acute presentations, risk-adjusted PCI-related in-hospital mortality of SNHs is only marginally higher (four additional deaths per 1,000 PCI cases) than non-SNHs, whereas risk-adjusted bleeding and acute kidney injury rates are comparable," the authors write.

One author disclosed financial ties to the pharmaceutical industry.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease



Sign up for myCME e-newsletters




More in Home

Gender Difference in Survival Seen After Radical Cystectomy

Gender Difference in Survival Seen After Radical Cystectomy

Females have worse disease-free, cancer-specific, overall survival versus males with bladder cancer

Adult Obesity Prevalence Varies With Level of Urbanization

Adult Obesity Prevalence Varies With Level of Urbanization

Increased obesity for men, women living in medium, small versus large metropolitan statistical areas

Attitudes Among Obese Are Not Aligned With Healthy Living

Attitudes Among Obese Are Not Aligned With Healthy ...

Consumers with obesity report favoring taste and value rather than health and nutrition

is free, fast, and customized just for you!




Already a member?

Sign In Now »