May 27, 2020Open Access
View Full PaperTemporal Trends in Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting: Insights From the Washington Cardiac Care Outcomes Assessment Program
Structured PICO
How do temporal trends in clinical acuity and adjusted mortality compare between patients undergoing PCI versus CABG?
P
Population
Patients treated with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) in the Washington Cardiac Care Outcomes Assessment Program
I
Intervention
Percutaneous Coronary Intervention (PCI)
C
Comparator
Coronary Artery Bypass Grafting (CABG)
O
Outcome
Adjusted observed/expected mortality ratiohard clinical
The temporal increase in clinical acuity and adjusted mortality for PCI compared to CABG likely reflects a shift toward utilizing PCI in patients at high surgical risk.
Abstract
<0.0001) over the study period. Conclusions Clinical acuity increased for patients treated with PCI rather than CABG. This resulted in an increase in adjusted observed/expected mortality ratio for patients undergoing PCI and a decrease for CABG. These shifts may reflect an increased use of PCI instead of CABG for patients considered to be at high surgical risk.