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Percutaneous Coronary Intervention Reduces Mortality in Out-of-Hospital Cardiac Arrest after Acute Coronary Syndrome: An Outcomes-Based Study from the Nationwide Inpatient Sample Database
- Source :
- Surgical Science. :27-36
- Publication Year :
- 2017
- Publisher :
- Scientific Research Publishing, Inc., 2017.
-
Abstract
- Introduction: Mortality following cardiac arrest (CA) is extremely high, with rates as high as 91.5% after out-of-hospital cardiac arrest (OHCA) and 76.1% after in-hospital cardiac arrest (IHCA). This study assessed the clinical profile and outcomes of a large cohort of patients undergoing primary percutaneous coronary intervention (PCI) for OHCA to determine its effect on clinical outcomes and mortality. Methods: 247,456 patients with OHCA due to acute coronary syndrome (ACS) were abstracted from the Nationwide Inpatient Sample database (2001-2011). Results: Among 247,456 OHCA patients, 11,111 (4.5%) had PCI while 236,345 (95.5%) did not. Patients who underwent PCI were younger than those who did not receive PCI (64 vs. 66 years), p p p p 65 years, female gender, AA or Hispanic race, advanced cancer, and liver dysfunction as independent factors associated with increased mortality, while PCI conferred a survival advantage in OHCA, p 50 years old, and those with Medicare. PCI significantly reduces mortality in OHCA patients and should be considered in all OHCA patients. Further investigation and development of methods to overcome the apparent socioeconomic barriers to PCI is required.
- Subjects :
- Acute coronary syndrome
Database
business.industry
medicine.medical_treatment
Percutaneous coronary intervention
030204 cardiovascular system & hematology
computer.software_genre
medicine.disease
Advanced cancer
Out of hospital cardiac arrest
Large cohort
03 medical and health sciences
0302 clinical medicine
Conventional PCI
Medicine
Survival advantage
030212 general & internal medicine
Liver dysfunction
business
computer
Subjects
Details
- ISSN :
- 21579415 and 21579407
- Database :
- OpenAIRE
- Journal :
- Surgical Science
- Accession number :
- edsair.doi...........53782037391d2afa7245ef1c07b19827