Author + information
Most hospitals report PCI outcome data in the NCDR but New York (NY), Massachusetts (MA) and Pennsylvania (PA) publicly report their data. In hospital mortality after Out of Hospital Cardiac Arrest (OHCA) and STEMI is considered PCI related even if the death is non-cardiac.
To assess the impact of registry participation vs. public reporting on decision making in patients (pts) with OHCA/STEMI.
Out of 376 responses obtained from an ACC sponsored online survey of cardiologists, data were analyzed on 311 responders participating in PCI reporting. Unresponsive pts were divided in 3 age groups; < 60 years, 60 to 75 years and > 75 years old with OHCA/STEMI. If there was no PCI data reporting, would cardiologist bring more or all patients to the cath lab vs. no change in policy? The data were then analyzed for NY, MA and PA vs. only NCDR reporting states. Mantel-Haenszel test with Yates correction was used.
The survey showed that cardiologists from NY, MA and PA would bring more or all patients to the cath-lab versus only NCDR reporting cardiologists if there was no PCI data reporting. This was statistically significant for the entire group combined. (p < 0.002) On age-wise subgroup analysis this was significant in age group > 75 years (p < 0.02). When analyzing only NY and MA, data were statistically significant for pts ≥60 years. (p<0.05)
This survey suggests that public reporting of PCI outcomes affects decision making in patients with OHCA/STEMI versus NCDR reporting alone.
|Age Group||Cath-lab Strategy||NY, MA, PA N=62 (%)||NON-NY,MA,PA N=249 (%)||P value|
|< 60 years||No Change||36 (58.1)||164 (65.9)|
|More/ALL||26 (41.9)||85 (34.1)||0.3|
|60 – 75 years||No Change||33 (53.2)||164 (65.9)|
|More/ALL||27 (43.5)||84 (33.7)||0.14|
|>75 years||No Change||38 (61.3)||186 (74.7)|
|More/ALL||24 (38.7)||56 (22.5)||0.03|
|All groups responses combined||No Change||107 (58.2)||514 (69.6)|
|More/ALL||77 (41.8)||225 (30.4)||0.002|
No change= No change in strategy, More/All = Bring more or all patients to cath-lab, NY=New York, MA=Massachusetts, PA= Pennsylvania
Poster Sessions, Expo North
Sunday, March 10, 2013, 9:45 a.m.-10:30 a.m.
Session Title: Improving Cardiovascular Health Services
Abstract Category: 28. Quality of Care and Outcomes Assessment
Presentation Number: 1201-112
- 2013 American College of Cardiology Foundation