August 1, 2013EuroIntervention
Persistent geographical disparities in the use of primary percutaneous coronary intervention in 120 European regions: exploring the variation
Key result
PPCI use for STEMI increases by ~1.2 per million annually, linked to regional supply factors.
- annual increase 1.15
- 95% CI 1.12-1.19
Population
120 regions in 10 EU countries
Design
Other
Follow-up
2003 through 2008
Authors
Discussion
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Member takes
Implication
Regional STEMI PPCI disparities tied to supply factors persist; leaves open targeted equity research before practice change.
Study Design
Type
Observational
Multicenter
Yes
Structured PICO
P
Population
Ecological study of 120 regions in 10 European countries evaluating the variation in primary percutaneous coronary intervention utilisation for STEMI from 2003 to 2008.
E
Exposure
Primary percutaneous coronary intervention (PPCI) for ST-elevation myocardial infarction (STEMI)
O
Outcome
Annual number of PPCI per million inhabitants from 2003 through 2008
Main Result
Effect estimate: annual increase 1.15 (95% CI 1.12-1.19)
There is significant regional variation in PPCI utilization for STEMI across Europe, which is associated with demographic and healthcare supply factors such as physician and bed density.
Cite This Study
Laut et al. (2013) conducted an observational in ST-elevation myocardial infarction (STEMI). Economic, organisational and demographic characteristics was evaluated on Annual number of PPCI per million inhabitants (annual increase 1.15, 95% CI 1.12-1.19). Primary percutaneous coronary intervention utilisation for STEMI increased by 1.15 per million inhabitants annually (95% CI 1.12-1.19), with significant regional variation linked to supply factors.