Key result
Intraprocedural lesion complications (OR 4.56; 95% CI 3.03-6.87), multivessel disease, and age were independent predictors of decreased cardiac tissue perfusion after PCI.
Cohort (n=1,542)
Effect estimate: OR 4.56 (95% CI 3.03-6.87)
p-value: p=<.001
Age, multivessel disease, and intraprocedural lesion complications are independent predictors of decreased cardiac tissue perfusion (periprocedural myocardial infarction) following PCI.
May support PCI risk stratification; hypothesis-generating and requires prospective validation before practice change.
OBJECTIVE: To establish clinical predictors of risk for decreased cardiac tissue perfusion (DCTP) after percutaneous coronary intervention (PCI). METHODS: Data on demographic, anthropometric, clinical, and procedural variables were collected as explanatory from a database of 1,542 adult patients undergoing PCI. A diagnosis of periprocedural myocardial infarction was used to confirm DCTP. A multivariate logistic regression determined the predictors of DCTP. RESULTS: The independent predictors of risk for DCTP were age (OR = 1.02, CI 95% = 1.01-1.03, p = .008), multivessel disease (OR = 1.79, CI 95% = 1.30-2.46, p <.001) and intraprocedural lesion complications (OR = 4.56, CI 95% = 3.03-6.87, p <.001). CONCLUSION AND IMPLICATIONS FOR NURSING PRACTICE: These results increase the level of evidence of risk for DCTP by refining its risk factors and can support nurses' clinical judgment.
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Moreira et al. (2018) conducted a cohort in Percutaneous coronary intervention (n=1,542). Risk factors (age, multivessel disease, intraprocedural lesion complications) was evaluated on Decreased cardiac tissue perfusion (DCTP) (OR 4.56, 95% CI 3.03-6.87, p=<.001). Intraprocedural lesion complications (OR 4.56; 95% CI 3.03-6.87), multivessel disease, and age were independent predictors of decreased cardiac tissue perfusion after PCI.
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