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Implementation of Intravascular Coronary Lithotripsy in the United States: Social Determinants of Health.


ABSTRACT:

Background

Disparities in health care access persist in cardiovascular interventions. Coronary lithotripsy, a novel treatment for calcified coronary lesions, shows variability in utilization by sociodemographic factors.

Objectives

This study examines the impact of sex, race, income, and hospital characteristics on lithotripsy use in the United States.

Methods

Using the 2021 Nationwide Inpatient Sample, patients undergoing percutaneous coronary intervention were identified. Lithotripsy was defined by the International Classification of Diseases-10th Revision codes. Multivariable logistic regression assessed the impact of sociodemographic factors, adjusting for comorbidities and hospital characteristics. Outcomes were compared using propensity score matching, with P < 0

SUBMITTER: Bahar AR 

PROVIDER: S-EPMC12421638 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature