Impact of the New York State Cardiac Surgery and Percutaneous Coronary Intervention Reporting System on the management of patients with acute myocardial infarction complicated by cardiogenic shock
Impact of the New York State Cardiac Surgery and Percutaneous Coronary Intervention Reporting System on the management of patients with acute myocardial infarction complicated by cardiogenic shock
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DOI：
10.1016/j.ahj.2007.10.013
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发表时间：
2008-02-01
影响因子：
4.8
通讯作者：
Hochman, Judith S.
中科院分区：
文献类型：
--
作者：
Apolito, Renato A.;Greenberg, Mark A.;Hochman, Judith S.
背景研究表明，纽约州心脏手术和经皮冠状动脉介入治疗报告系统公开了接受冠状动脉旁路移植术（CABG）或经皮冠状动脉介入治疗（PCI）的患者的手术者特异性死亡率，可能会阻止操作者对高血压患者进行血运重建，方法回顾性分析了545例美国急性心肌梗死和心源性休克患者，在SHOCK注册表中。调整的情况下，使用倾向评分法，我们比较了冠状动脉造影，PCI，CABG的使用，并在纽约和其他state.Results 325之间的220例患者的结果纽约患者年龄较大，相似或不太严重的基线特征。倾向评分校正后，纽约患者比非纽约患者更不可能接受冠状动脉造影（比值比0.46，95%CI 0.31 - 0.68，P
Background Studies suggest that the New York State Cardiac Surgery and Percutaneous Coronary Intervention Reporting System, which makes public the operator-specific mortality for patients undergoing coronary artery bypass graft surgery (CABG) or percutaneous coronary intervention (PCI), may deter operators from providing revascularization to high-risk cardiac patients in New York compared to other states.Methods We performed a retrospective analysis of 545 US patients with acute myocardial infarction and cardiogenic shock due to predominant left ventricular failure enrolled in the SHOCK Registry. Adjusting for case mix using a propensity score method, we compared the use of coronary angiography, PCI, CABG, and outcomes between 220 patients in New York and 325 in other states.Results New York patients were older with similar or less severe baseline characteristics. After propensity score adjustment, New York patients were less likely than non-New York patients to undergo coronary angiography (odds ratio 0.46, 95% Cl 0.31-0.68, P