Key result
Intracoronary imaging optimization was used in 16.6% of 48,872 PCIs, with the performing hospital (median OR 3.48) and physician being the strongest predictors of its use.
Why the study?
Intracoronary imaging during PCI improves outcomes, but hospital- and physician-level variabilities in its use in contemporary PCI remain unknown.
What factors drive the use of intracoronary imaging optimization during percutaneous coronary intervention?
Population
48 872 PCIs between July 2019 and March 2021 from a large statewide registry
Comparison
Hospital- and physician-level use of intracoronary imaging optimization
Design
Registry-based observational cohort study
Authors
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Substantial hospital- and physician-level variability in ICI use warrants targeted quality initiatives; leaves open optimal implementation strategies.
Observational (n=48,872)
Yes
What factors drive the use of intracoronary imaging optimization during percutaneous coronary intervention?
Odds Ratio: 3.48 (95% CI 2.64–5.04)
There is substantial hospital- and physician-level variation in the use of intracoronary imaging during PCI, which outweighs most patient and procedural factors.
Madder et al. (2022) conducted an observational in Percutaneous coronary intervention (n=48,872). Hospital and physician performing the PCI was evaluated on Intracoronary imaging (ICI) optimization during PCI (Median OR 3.48, 95% CI 2.64-5.04). Intracoronary imaging optimization was used in 16.6% of 48,872 PCIs, with the performing hospital (median OR 3.48) and physician being the strongest predictors of its use.
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