Identification of hospital outliers in bleeding complications after percutaneous coronary intervention.

ABSTRACT:

Background

Post-percutaneous coronary intervention (PCI) bleeding complications are an important quality metric. We sought to characterize site-level variation in post-PCI bleeding and explore the influence of patient and procedural factors on hospital bleeding performance.

Methods and results

Hospital-level bleeding performance was compared pre- and postadjustment using the newly revised CathPCI Registry(®) bleeding risk model (c-index, 0.77) among 1292 National Cardiovascular Data Registry(®) hospitals performing >50 PCIs from 7/2009 to 9/2012 (n=1,984,998 procedures). Using random effects models, outlier sites were identified based on 95% confidence intervals around the hospital's random intercept. Bleeding 72 hours post-PCI was defined as: arterial access site, retroperi

SUBMITTER: Hess CN 

PROVIDER: S-EPMC4303523 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature