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Titolo:
Benchmarking operator performance in percutaneous coronary intervention: Anovel approach using 30-day events
Autore:
Lindsay, J; Pinnow, EE; Pichard, AD;
Indirizzi:
Washington Hosp Ctr, Cardiol Sect, Washington, DC 20010 USA Washington Hosp Ctr Washington DC USA 20010 ect, Washington, DC 20010 USA
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 2, volume: 52, anno: 2001,
pagine: 139 - 145
SICI:
1522-1946(200102)52:2<139:BOPIPC>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
COLLEGE-OF-CARDIOLOGY; ANGIOPLASTY; OUTCOMES; VOLUME; REVASCULARIZATION; GUIDELINES; RESTENOSIS; RISK;
Keywords:
angioplasty; follow-up studies; revascularization;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Lindsay, J Washington Hosp Ctr, Cardiol Sect, 110 Irving St NW, Washington, DC 20010 USA Washington Hosp Ctr 110 Irving St NW Washington DC USA 20010SA
Citazione:
J. Lindsay et al., "Benchmarking operator performance in percutaneous coronary intervention: Anovel approach using 30-day events", CATHET C IN, 52(2), 2001, pp. 139-145

Abstract

The infrequency of adverse in-hospital events limits scorecarding individual angioplasty operators. We assessed 30-day events for this purpose. Thirty-nine operators performed 1,950 coronary interventions from 1 April to 30 September 1998. Thirty-day follow-up was obtained in 1,896 (97.2%), who form the basis for this analysis. We recorded 16 baseline variables and chose an endpoint of mortality or target vessel revascularization. The endpoint occurred in 103 (5.4%) patients by 30 days. Independent predictors were identified by multivariate modeling. The expected event rate for the set of patients treated by each operator was determined. Two operators had significantly more adverse events by 30 days than predicted and two others had an event rate approaching significance. Two of these four performed at least 60 procedures during the 6-month period. With 30-day events, operators whose complication rates exceed laboratory standards can be identified with achievable sample sizes. Volume alone does not appear to be sufficient assurance of quality outcomes. Cathet Cardiovasc Intervent 2001;52:139-145. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 02:30:33