American Journal of Cardiology
Volume 83, Issue 4 , Pages 493-497 , 15 February 1999

Association between percutaneous transluminal coronary angioplasty volumes and outcomes in the healthcare cost and utilization project 1993-1994

  • James L. Ritchie, MD

      Affiliations

    • Department of Medicine, Department of Veterans Affairs, Seattle, Washington, USA
    • Department of Medicine, University of Washington, Seattle, Washington, USA
    • Corresponding Author InformationAddress for reprints: James L Ritchie, MD, Division of Cardiology, Box 356422, University of Washington, Seattle, Washington 98195
    • ,
  • Charles Maynard, PhD

      Affiliations

    • Department of Medicine, University of Washington, Seattle, Washington, USA
    • ,
  • Michael K. Chapko, PhD

      Affiliations

    • Health Services Research and Development, Department of Veterans Affairs, Seattle, Washington, USA
    • Department of Health Services, University of Washington, Seattle, Washington, USA
    • ,
  • Nathan R. Every, MD

      Affiliations

    • Department of Medicine, Department of Veterans Affairs, Seattle, Washington, USA
    • Department of Medicine, University of Washington, Seattle, Washington, USA
    • Health Services Research and Development, Department of Veterans Affairs, Seattle, Washington, USA
    • ,
  • Donald C. Martin, PhD

      Affiliations

    • Health Services Research and Development, Department of Veterans Affairs, Seattle, Washington, USA

Received 14 August 1998 ,Revised 11 September 1998 ,Accepted 11 September 1998.

References 

  1. Gruentzig AR, Senning A, Siegenlhaler WE. Non-operative dilatation of coronary artery stenosis (percutaneous transluminal coronary angioplasty). N Engl J Med. 1979;301:61–68
  2. 1997 heart and stroke statistical update. Dallas: American Heart Association, 1997.
  3. Ellis SG, Roubin GS, King SB, Douglas JS, Shaw RE, Stertzer SH, et al. In-hospital cardiac mortality after acute closure after coronary angioplasty (analysis of risk factors from 8,207 procedures). J Am Coll Cardiol. 1988;11:211–216
  4. O’Keefe JH, Rutherford BD, McConahay DR, Johnson WL, Giorge LV, Ligon RW, et al. Multivessel coronary angioplasty from 1980 to 1989 (procedural results and long-term outcome). J Am Coll Cardiol. 1990;16:1097–1102
  5. Ellis SG, King SB, Douglas JS, Weintraub WS, Thomas RG, Cox WR. Angiographic and clinical predictors of acute closure after native vessel coronary angioplasty. Circulation. 1988;77:372–379
  6. Ellis SG, Vandormael MG, Cowley MJ, DiSciascio G, Deligonul U, Topol EJ, et al. Coronary morphologic and clinical determinants of procedural outcome after angioplasty for multivessel coronary disease. Circulation. 1990;82:1193–1202
  7. Talley JD, Weintraub WS, Roubin GS, Douglas JS, Anderson V, Jones EL, et al. Failed elective percutaneous transluminal coronary angioplasty requiring coronary artery bypass surgery (in-hospital and late clinical outcome at 5 years). Circulation. 1990;82:1203–1213
  8. Ritchie JL, Phillips KA, Luft HS. Coronary angioplasty statewide experience in California. Circulation. 1993;88:2735–2743
  9. Phillips KA, Luft HS, Ritchie JL. The association of hospital volumes of percutaneous transluminal coronary angioplasty with adverse outcomes, length of stay, and charges in California. Med Care. 1995;33:502–514
  10. Hannan EL, Racz M, Ryan TJ, McCallister BD, Johnson LW, Arani DT, et al. Coronary angioplasty volume-outcome relationships for hospitals and cardiologists. JAMA. 1997;279:892–898
  11. Malenka DJ. Indications, practice and procedural outcomes of percutaneous transluminal coronary angioplasty in northern New England in the early 1990s. Am J Cardiol. 1996;78:260–265
  12. Kimmel SE, Berlin JA, Laskey WK. The relationship between coronary angioplasty procedure volume and major complications. JAMA. 1995;274:1137–1142
  13. Ellis SG, Weintraub W, Holmes D, Shaw R, Block PC, King SB. Relation of operator volume and experience to procedural outcome of percutaneous coronary revascularization at hospitals with high interventional volumes. Circulation. 1997;96:2479–2484
  14. Jollis JG, Peterson ED, DeLong ER, Mark DB, Collins SR, Muhlbaier LH, et al. The relations between the volume of coronary angioplasty procedures at hospitals treating medicare beneficiaries and short-term mortality. N Engl J Med. 1994;331:1625–1629
  15. Jollis JG, Peterson ED, Nelson CL, Stafford JA, DeLong ER, Muhlbaier LH, et al. Relationship between physician and hospital coronary angioplasty volume and outcome in elderly patients. Circulation. 1997;95:2485–2491
  16. Agency for Health Care Policy and Research. Health care cost and utilization project (HCUP-3), release 2, 1993.
  17. Agency for Health Care Policy and Research. Health care cost and utilization project (HCUP-3), release 3, 1994.
  18. Maynard C, Chapko MK, Every NR, Martin DC, Ritchie JL. Coronary angioplasty outcomes in the Health Care Cost and Utilization Project, 1993–1994. Am J Cardiol. 1998;81:848–852
  19. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613–619
  20. Ryan TJ, Anderson JL, Antman EM, Braniff BA, Brooks NH, Califf RM, et al. ACC/AHA guidelines for the management of patients with acute myocardial infarction (a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction)). J Am Coll Cardiol. 1996;28:1328–1428
  21. Hosmer DW, Lemeshow S. In: Applied Logistic Regression Analysis. New York: John Wiley; 1989;p. 140–145

☆ This study was supported by Service Grant 99-044 from the Department of Veterans Affairs Health Services Research and Development, Seattle, Washington.

PII: S0002-9149(98)00901-1

American Journal of Cardiology
Volume 83, Issue 4 , Pages 493-497 , 15 February 1999

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