THE APPROPRIATENESS OF USE OF PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY IN NEW-YORK-STATE
THE APPROPRIATENESS OF USE OF PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY IN NEW-YORK-STATE
复制标题
DOI：
10.1001/jama.269.6.761
复制
发表时间：
1993-02-10
影响因子：
120.7
通讯作者：
BROOK, RH
中科院分区：
文献类型：
--
作者：
HILBORNE, LH;LEAPE, LL;BROOK, RH
目的：-确定经皮冠状动脉腔内成形术(PTCA)在纽约州使用的适当性。设计-回顾性随机医疗记录。设定。-在纽约州随机选择15家提供PTCA的医院。患者。-1990年在纽约州接受PTCA的1306名患者的随机抽样。主要观察指标。-接受PTCA的患者的百分比被评定为适当的、不确定的和不适当的。结果：大多数患者接受PTCA治疗慢性稳定型心绞痛、不稳定型心绞痛和心肌梗死后时期(最多3周)。58%的PTCA被评为合适；38%的人不确定；4%的人不合适。不同医院的不合格率为1%~9%(P=.12)，不确定率为26%~50%(P=0.02)，不恰当与不确定合计为29%~57%(P=0.02)。
Objective.-To determine the appropriateness of use of percutaneous transluminal coronary angioplasty (PTCA) in New York State.Design.-Retrospective randomized medical record.Setting.-Fifteen randomly selected hospitals in New York State that provide PTCA.Patients.-Random sample of 1306 patients undergoing PTCA in New York State in 1990.Main Outcome Measures.-Percentage of patients who underwent PTCA for indications rated appropriate, uncertain, and inappropriate.Results.-The majority of patients received PTCA for chronic stable angina, unstable angina, and in the post-myocardial infarction period (up to 3 weeks). Fifty-eight percent of PTCAs were rated appropriate; 38%, uncertain; and 4%, inappropriate. The inappropriate rate varied by hospital from 1% to 9% (P=.12); the uncertain rate, from 26% to 50% (P=.02); and the combined inappropriate and uncertain rate, from 29% to 57% (P