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May 1, 2019Circulation Cardiovascular Quality and Outcomes

What Death After Percutaneous Coronary Intervention Cannot Teach

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Design

Editorial

Authors

FRFrederic S. ResnicUniversity of Massachusetts Chan Medical SchoolAMArjun MajithiaNetaji Subhas University of Technology

Discussion

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Implication

Risk-adjusted mortality inadequately captures PCI quality; challenges its primacy and supports broader metrics in guidelines and performance assessment.

Structured PICO

P
Population
Patients undergoing percutaneous coronary intervention (PCI)
I
Intervention
Percutaneous coronary intervention (PCI)
O
Outcome
Risk-adjusted mortality as a quality metric

Risk-adjusted mortality is a poor primary quality metric for PCI, and its use in public reporting should be modified to prevent risk aversion and ensure access to care for high-risk patients.

Cite This Study

Resnic et al. (2019) studied this question.

synapsesocial.com/papers/6a77fa0b576efb0ddaf7ca21https://doi.org/10.1161/circoutcomes.119.005692

Topics

Percutaneous coronary intervention
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