Patient and hospital determinants of primary percutaneous coronary intervention in England, 2003-2013.

ABSTRACT:

Objective

Primary percutaneous coronary intervention (PPCI) for ST-elevation myocardial infarction (STEMI) is insufficiently implemented in many countries. We investigated patient and hospital characteristics associated with PPCI utilisation.

Methods

Whole country registry data (MINAP, Myocardial Ischaemia National Audit Project) comprising PPCI-capable National Health Service trusts in England (84 hospital trusts; 92 350 hospitalisations; 90 489 patients), 2003-2013. Multilevel Poisson regression modelled the relationship between incidence rate ratios (IRR) of PPCI and patient and trust-level factors.

Results

Overall, standardised rates of PPCI increased from 0.01% to 86.3% (2003-2013). While, on average, there was a yearly increase in PPCI utilisation of 30% (adjust

SUBMITTER: Hall M 

PROVIDER: S-EPMC4752647 | biostudies-literature | 2016 Feb

REPOSITORIES: biostudies-literature