Hospital volume and mortality relation in PCI - Is there a need for modification of ACC/AHA percutaneous coronary intervention guidelines in Asia?

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dc.authorid0000-0003-0525-6569
dc.contributor.authorOlcay, Ayhan
dc.date.accessioned08.07.201910:49:13
dc.date.accessioned2019-07-08T20:19:28Z
dc.date.available08.07.201910:49:13
dc.date.available2019-07-08T20:19:28Z
dc.date.issued2013
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractThe relationship between hospital volume and outcome relation in percutaneous coronary intervention (PCI) is important for patients, policy makers and referring physicians. Hospital volume is the explicit criterion for health care purchasers recommended by Leapfrog group. In accordance with current American College of Cardiology/American Heart Association (ACC/AHA) percutaneous coronary intervention (PCI) clinical practice guidelines, Leapfrog has established a minimum institutional volume requirement of 400 cases per year for hospitals offering PCI (1, 2). For these reason, centralization of PCI cases in core facilities has been advocated. This volume threshold is mainly based on studies originating from USA in the 1980s and 1990s which showed increased PCI mortality for patients treated at hospitals with annual volumes <400 cases (3, 4). However, there have been many changes in recent years in PCI practice by widespread use of low profile balloons, stents, glycoprotein IIb/ IIIa inhibitors and intra-aortic balloon pumps. These changes and widespread PCI education opportunities increased interventional cardiologists’ abilities and self-confidence, which raise the possibility that currently recommended hospital PCI volume threshold of 400 cases may no longer be appropriate.
dc.identifier.citationOlcay, A. (2013). Hospital volume and mortality relation in PCI - Is there a need for modification of ACC/AHA percutaneous coronary intervention guidelines in Asia?. The Anatolian Journal Of Cardiology, 13(3), 243-244. https://dx.doi.org/10.5152/akd.2013.071
dc.identifier.doi10.5152/akd.2013.071
dc.identifier.endpage244
dc.identifier.issn1302-8723
dc.identifier.issue3
dc.identifier.scopusqualityN/A
dc.identifier.startpage243
dc.identifier.urihttps://hdl.handle.net/20.500.12511/725
dc.identifier.urihttps://dx.doi.org/10.5152/akd.2013.071
dc.identifier.volume13
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.relation.ispartofThe Anatolian Journal Of Cardiologyen_US
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHospital Volume
dc.subjectMortality Relation
dc.subjectCoronary Intervention
dc.subjectPercutaneous
dc.subjectModification
dc.titleHospital volume and mortality relation in PCI - Is there a need for modification of ACC/AHA percutaneous coronary intervention guidelines in Asia?
dc.title.alternativePKG’lerde hastane vaka sayıları ile mortalite ilişkisi-ACC/AHA’nın perkütan koroner girişim kılavuzlarında Asya ülkeleri için değişikliğe gerek var mı?
dc.typeOther

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