Trends in outcome and costs of coronary intervention in the 1990s

Our objective was to examine trends in outcome and cost of percutaneous coronary intervention (PCI) between 1990 and 1999. PCI has become the most common form of myocardial revascularization in recent years, rivaling the more established coronary artery bypass surgery. There has been increasing inte...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of cardiology 2001-09, Vol.88 (5), p.497-503
Main Authors: Weintraub, William S, Mahoney, Elizabeth M, Ghazzal, Ziyad M.B, King, Spencer B, Culler, Steven D, Morris, Douglas C, Douglas, John S
Format: Article
Language:English
Subjects:
Age Distribution
Aged
Angioplasty, Balloon, Coronary - economics
Angioplasty, Balloon, Coronary - methods
Angioplasty, Balloon, Coronary - mortality
Benefit cost analysis
Biological and medical sciences
Clinical outcomes
Confidence Intervals
Coronary Disease - diagnosis
Coronary Disease - mortality
Coronary Disease - therapy
Diseases of the cardiovascular system
Female
Health Care Costs - trends
Heart attacks
Hospital Mortality - trends
Humans
Male
Medical sciences
Middle Aged
Probability
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Recurrence
Retrospective Studies
Risk Assessment
Risk Factors
ROC Curve
Sex Distribution
Survival Analysis
Treatment Outcome
Trends
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Our objective was to examine trends in outcome and cost of percutaneous coronary intervention (PCI) between 1990 and 1999. PCI has become the most common form of myocardial revascularization in recent years, rivaling the more established coronary artery bypass surgery. There has been increasing interest in improving outcome of PCI while also seeking to minimize cost. A total of 21,755 patients undergoing PCI were evaluated. Clinical data were gathered from the Emory Cardiovascular Database and financial data from the UB92 formulation of the hospital bill. Charges were reduced to cost using departmental cost-to-charge ratios. Costs were inflated to 1999 dollars using medical care inflation rates. Mortality varied without a significant trend from 0.63% to 0.44% (p = 0.64). The Q-wave myocardial infarction rate decreased from 0.68% to 0.40% (p = 0.0003). Emergent coronary surgery decreased from 3.50% to 1.25% (p
ISSN:0002-9149
1879-1913
DOI:10.1016/S0002-9149(01)01726-X