Appropriateness of Percutaneous Coronary Intervention
Why the study?
What is the proportion of appropriate, uncertain, and inappropriate percutaneous coronary interventions (PCIs) performed for acute and nonacute indications in contemporary US practice?
Population
500,154 patients within the National Cardiovascular Data Registry undergoing percutaneous coronary…
Design
Cohort
Authors
Discussion
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Member takes
Implication
Highlights opportunity to reduce inappropriate nonacute PCIs; leaves open effects on clinical outcomes.
Structured PICO
What is the proportion of appropriate, uncertain, and inappropriate percutaneous coronary interventions (PCIs) performed for acute and nonacute indications in contemporary US practice?
P
Population
500,154 patients within the National Cardiovascular Data Registry undergoing percutaneous coronary intervention (PCI) between July 1, 2009, and September 30, 2010, at 1091 US hospitals.
I
Intervention
Percutaneous coronary intervention (PCI) for acute (STEMI, NSTEMI, or unstable angina with high-risk features) or nonacute indications
O
Outcome
Proportion of acute and nonacute PCIs classified as appropriate, uncertain, or inappropriate using the appropriate use criteria for coronary revascularization
While nearly all PCIs for acute indications in the US are classified as appropriate, approximately 12% of nonacute PCIs are inappropriate, highlighting a significant target for quality improvement.
Cite This Study
Chan et al. (2011) studied this question.