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The Association of Hospital Volume of Percutaneous Coronary Intervention with Cardiac Mortality

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dc.contributor.author박은철-
dc.date.accessioned2018-08-28T17:26:27Z-
dc.date.available2018-08-28T17:26:27Z-
dc.date.issued2018-
dc.identifier.issn1225-4266-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/162615-
dc.description.abstractBACKGROUND: This study investigates the potential volume and outcome association of coronary heart disease (CHD) patients who have undergone percutaneous coronary intervention (PCI) using a large and representative sample. METHODS: We used a National Health Insurance Service-Cohort Sample Database from 2002 to 2013 released by the Korean National Health Insurance Service. A total of 8,908 subjects were analyzed. The primary analysis was based on Cox proportional hazards models to examine our hypothesis. RESULTS: After adjusting for confounders, the hazard ratio of thirty-day and 1-year mortality in hospitals with a low volume of CHD patients with PCI was 2.8 and 2.2 times higher (p=0.00) compared to hospitals with a high volume of CHD patients with PCI, respectively. Thirty-day and 1-year mortality of CHD patients with PCI in low-volume hospitals admitted through the emergency room were 3.101 (p=0.00) and 2.8 times higher (p=0.01) than those in high-volume hospitals, respectively. Only 30-day mortality in low-volume hospitals of angina pectoris and myocardial infarction patients with PCI was 5.3 and 2.4 times those in high-volume hospitals with PCI, respectively. CONCLUSION: Mortality was significantly lower when PCI was performed in a high-volume hospital than in a low-volume hospital. Among patients admitted through the emergency room and diagnosed with angina pectoris, total PCI volume (low vs. high) was associated with significantly greater cardiac mortality risk of CHD patients. Thus, There is a need for better strategic approaches from both clinical and health policy standpoints for treatment of CHD patients.-
dc.description.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher한국보건행정학회-
dc.relation.isPartOfKorean Journal of Health Policy and Administration (보건행정학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAngina Pectoris-
dc.subject.MESHCoronary Disease-
dc.subject.MESHEmergency Service, Hospital-
dc.subject.MESHHealth Policy-
dc.subject.MESHHospitals, High-Volume-
dc.subject.MESHHospitals, Low-Volume-
dc.subject.MESHHumans-
dc.subject.MESHMortality*-
dc.subject.MESHMyocardial Infarction-
dc.subject.MESHNational Health Programs-
dc.subject.MESHPercutaneous Coronary Intervention*-
dc.subject.MESHProportional Hazards Models-
dc.titleThe Association of Hospital Volume of Percutaneous Coronary Intervention with Cardiac Mortality-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Preventive Medicine-
dc.contributor.googleauthorJae-Hyun Kim-
dc.contributor.googleauthorJang-Mook Kim-
dc.contributor.googleauthorEun-Cheol Park-
dc.identifier.doi10.4332/KJHPA.2018.28.2.168-
dc.contributor.localIdA01618-
dc.relation.journalcodeJ02025-
dc.identifier.eissn2289-0149-
dc.subject.keywordCoronary heart disease-
dc.subject.keywordMortality-
dc.subject.keywordPercutaneous coronary intervention-
dc.contributor.alternativeNamePark, Eun Chul-
dc.contributor.affiliatedAuthorPark, Eun Chul-
dc.citation.volume28-
dc.citation.number2-
dc.citation.startPage168-
dc.citation.endPage177-
dc.identifier.bibliographicCitationKorean Journal of Health Policy and Administration, Vol.28(2) : 168-177, 2018-
dc.identifier.rimsid60195-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers

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