Key result
Primary percutaneous coronary intervention was associated with a 53.3% lower in-hospital mortality rate (6.78% vs 14.53%) and a 36% shorter length of hospital stay compared to general STEMI treatment.
Why the study?
PCI has been preferred over non-invasive methods for STEMI revascularization, but few studies have described its use in Brazil.
Does primary PCI improve in-hospital mortality and length of stay compared to overall STEMI treatment in patients hospitalized for STEMI in Brazil?
Cross-Sectional (n=659,811)
Does primary PCI improve in-hospital mortality and length of stay compared to overall STEMI treatment in patients hospitalized for STEMI in Brazil?
Effect estimate: 53.3% lower
Absolute Event Rate: 6.78% vs 14.53%
In a nationwide Brazilian registry from 2010 to 2019, primary PCI for STEMI was associated with significantly lower in-hospital mortality and shorter length of stay compared to overall STEMI treatment, though it remains underutilized.
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Minucci et al. (2021) conducted a cross-sectional in ST-segment elevation acute myocardial infarction (STEMI) (n=659,811). Primary percutaneous coronary intervention (PCI) vs. General treatment of STEMI was evaluated on In-hospital mortality rate (53.3% lower). Primary percutaneous coronary intervention was associated with a 53.3% lower in-hospital mortality rate (6.78% vs 14.53%) and a 36% shorter length of hospital stay compared to general STEMI treatment.
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