Trends in Cause of Death After Percutaneous Coronary Intervention
Why the study?
How have the causes of long-term death changed over time among patients surviving index PCI?
Population
19,077 patients who survived index percutaneous coronary intervention hospitalization at a single center…
Comparison
Index PCI performed in 3 time periods vs Temporal comparison across the 3 time periods
Design
Cohort
Follow-up
Final follow-up December 31, 2012
Authors
Discussion
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Member takes
Implication
Highlights need for holistic post-PCI comorbidity management; hypothesis-generating for targeted noncardiac interventions.
Structured PICO
How have the causes of long-term death changed over time among patients surviving index PCI?
P
Population
19,077 patients who survived index percutaneous coronary intervention (PCI) hospitalization at a single center from 1991 to 2008.
I
Intervention
Index PCI performed in 3 time periods (1991-1996, 1997-2002, and 2003-2008)
C
Comparator
Temporal comparison across the 3 time periods
O
Outcome
Trends in cause-specific long-term mortality (cardiac vs noncardiac deaths)hard clinical
Over two decades, there has been a marked temporal switch from predominantly cardiac to predominantly noncardiac causes of death after PCI, driven by fewer deaths from myocardial infarction/sudden death and an increase in cancer and chronic diseases.
Cite This Study
Spoon et al. (2014) studied this question.