Lower Hospital Volume Is Associated With Higher In-Hospital Mortality in Patients Undergoing Primary Percutaneous Coronary Intervention for ST-Segment–Elevation Myocardial Infarction
Kontos MC, Wang Y, Chaudhry SI, Vetrovec GW, Curtis J, Messenger J. Lower Hospital Volume Is Associated With Higher In-Hospital Mortality in Patients Undergoing Primary Percutaneous Coronary Intervention for ST-Segment–Elevation Myocardial Infarction. Circulation Cardiovascular Quality And Outcomes 2013, 6: 659-667. PMID: 24192572, DOI: 10.1161/circoutcomes.113.000233.Peer-Reviewed Original ResearchConceptsPrimary percutaneous coronary interventionPrimary PCIHigh-volume hospitalsLow-volume hospitalsPercutaneous coronary interventionBalloon timeCoronary interventionHospital volumeHigher annual hospital volumeHigher In-Hospital MortalityAnnual hospital volumeLow hospital volumeRoutine coronary stentingIn-Hospital MortalityElevation myocardial infarctionMajority of patientsNew pharmacological agentsHospital mortalityCathPCI RegistryMultivariate adjustmentUnadjusted mortalityCoronary stentingMyocardial infarctionCurrent guidelinesPatient visitsUse of Remote Monitoring of Newly Implanted Cardioverter-Defibrillators
Akar JG, Bao H, Jones P, Wang Y, Chaudhry SI, Varosy P, Masoudi FA, Stein K, Saxon LA, Curtis JP. Use of Remote Monitoring of Newly Implanted Cardioverter-Defibrillators. Circulation 2013, 128: 2372-2383. PMID: 24043302, DOI: 10.1161/circulationaha.113.002481.Peer-Reviewed Original ResearchConceptsMedian odds ratioOdds ratioNational Cardiovascular Data Registry ICD RegistryRemote patient monitoringMultivariable logistic regressionHealth-related factorsImplanted cardioverter defibrillatorEligible patientsICD RegistryLack of enrollmentCurrent guidelinesCardioverter defibrillatorPatientsLogistic regressionLocal practice environmentMajor causeHealth insuranceSubsequent activationEnrollmentPractice environmentPatient monitoringPhysiciansActivationRPM systemSuccessful use