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Percutaneous Coronary Intervention at Centers With and Without On-site Surgery: A Meta-analysis.

Authors :
Singh, Mandeep
Holmes Jr., David R.
Dehmer, Gregory J.
Lennon, Ryan J.
Wharton, Thomas P.
Kutcher, Michael A.
Aversano, Thomas
Rihal, Charanjit S.
Source :
JAMA: Journal of the American Medical Association. 12/14/2011, Vol. 306 Issue 22, p2487-2494. 8p. 1 Diagram, 4 Charts, 1 Graph.
Publication Year :
2011

Abstract

The article analyzes studies comparing rates of in-hospital mortality and emergency percutaneous coronary artery bypass grafting (CABG) surgery at centers with and without on-site surgery. Analysis revealed a 4.6 percent average mortality rate in patients undergoing primary percutaneous coronary intervention (PCI) across studies for sites with on-site surgery and 5.1 percent for sites with on-site surgery. The average mortality rate in patients undergoing non-primary PCI for sites without on-site surgery was 0.9 percent and 0.8 percent for sites with on-site surgery. Evaluation showed low incidence of emergency CABG for both primary and non-primary PCI at centers without on-site surgery.

Details

Language :
English
ISSN :
00987484
Volume :
306
Issue :
22
Database :
Academic Search Index
Journal :
JAMA: Journal of the American Medical Association
Publication Type :
Academic Journal
Accession number :
69968453
Full Text :
https://doi.org/10.1001/jama.2011.1790