Clinical outcomes of percutaneous coronary intervention for acute coronary syndrome between hospitals with and without onsite cardiac surgery backup
Abstract Background Based on the 2011 American College of Cardiology/American Heart Association percutaneous coronary intervention (PCI) guideline, it is recommended that PCI should be performed at hospital with onsite cardiac surgery. But, data suggest that there is no significant difference in cli...
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| creator | Akasaka, Tomonori, MD Hokimoto, Seiji, MD, FJCC Sueta, Daisuke, MD Tabata, Noriaki, MD Oshima, Shuichi, MD Nakao, Koichi, MD Fujimoto, Kazuteru, MD Miyao, Yuji, MD, FJCC Shimomura, Hideki, MD Tsunoda, Ryusuke, MD Hirose, Toyoki, MD Kajiwara, Ichiro, MD Matsumura, Toshiyuki, MD Nakamura, Natsuki, MD Yamamoto, Nobuyasu, MD Koide, Shunichi, MD Nakamura, Shinichi, MD Morikami, Yasuhiro, MD Sakaino, Naritsugu, MD Kaikita, Koichi, MD Nakamura, Sunao, MD, FJCC Matsui, Kunihiko, MD Ogawa, Hisao, MD, FJCC |
| description | Abstract Background Based on the 2011 American College of Cardiology/American Heart Association percutaneous coronary intervention (PCI) guideline, it is recommended that PCI should be performed at hospital with onsite cardiac surgery. But, data suggest that there is no significant difference in clinical outcomes following primary or elective PCI between the two groups. We examined the impact of with or without onsite cardiac surgery on clinical outcomes following PCI for acute coronary syndrome (ACS). Methods and results From August 2008 to March 2011, subjects ( n = 3241) were enrolled from the Kumamoto Intervention Conference Study (KICS). Patients were assigned to two groups treated in hospitals with ( n = 2764) or without ( n = 477) onsite cardiac surgery. Clinical events were followed up for 12 months. Primary endpoint was in-hospital death, cardiovascular death, myocardial infarction, and stroke. And we monitored in-hospital events, non-cardiovascular deaths, bleeding complications, revascularizations, and emergent coronary artery bypass grafting (CABG). There was no overall significant difference in primary endpoint between hospitals with and without onsite cardiac surgery [ACS, 7.6% vs. 8.0%, p = 0.737; ST-segment elevation myocardial infarction (STEMI), 10.4% vs. 7.5%, p = 0.200]. There was also no significant difference when events in primary endpoint were considered separately. In other events, revascularization was more frequently seen in hospitals with onsite surgery (ACS, 20.0% vs. 13.0%, p < 0.001; STEMI, 21.9% vs. 14.5%, p = 0.009). We performed propensity score matching analysis to correct for the disparate patient numbers between the two groups, and there was also no significant difference for primary endpoint (ACS, 8.6% vs. 7.5%, p = 0.547; STEMI, 11.2% vs. 7.5%, p = 0.210). Conclusions There is no significant difference in clinical outcomes following PCI for ACS between hospitals with and without onsite cardiac surgery backup in Japan. |
| doi_str_mv | 10.1016/j.jjcc.2016.01.012 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1826659409</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S091450871600023X</els_id><sourcerecordid>1826659409</sourcerecordid><originalsourceid>FETCH-LOGICAL-c479t-ecc62eb7415b703e3896a4608710d30d994accac8adcd65d6cc7844f7c006c8c3</originalsourceid><addsrcrecordid>eNp9Uk2LFDEQDaK44-of8CA5eukxSafT3SCCDH7BggcVvIV0pdpNb08yJuld5n_4g007o4IHoSAFee8Vr14R8pSzLWdcvZi20wSwFaXfMl5K3CMb3rWqkm3d3Scb1nNZNaxrL8ijlCbGFOs79ZBcCNWLrmnlhvzYzc47MDMNS4awx0TDSA8YYcnGY1gShRCDN_FInc8Yb9FnFzwdQ6SmgPDvfzp6G4sEHTDfIXp6HdLBZTMneufyNTXe_mrKJBp8civXROsM0LTEb1gkBgM3y-ExeTAWFj45v5fky9s3n3fvq6uP7z7sXl9VINs-VwigBA6t5M3QshrrrldGquKXM1sz2_fSABjojAWrGqsA2k7KsYWyCeigviTPT7qHGL4vmLLeuwQ4zyfnmndCqaaXrC9QcYJCDClFHPUhun1xrTnTaxp60msaek1DM15KFNKzs_4y7NH-ofxefwG8PAGwuLx1GHUChx7QuoiQtQ3u__qv_qHDOc0bPGKawhJ92Z_mOgnN9Kf1HtZz4IoxJuqv9U9Ir7VJ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1826659409</pqid></control><display><type>article</type><title>Clinical outcomes of percutaneous coronary intervention for acute coronary syndrome between hospitals with and without onsite cardiac surgery backup</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Akasaka, Tomonori, MD ; Hokimoto, Seiji, MD, FJCC ; Sueta, Daisuke, MD ; Tabata, Noriaki, MD ; Oshima, Shuichi, MD ; Nakao, Koichi, MD ; Fujimoto, Kazuteru, MD ; Miyao, Yuji, MD, FJCC ; Shimomura, Hideki, MD ; Tsunoda, Ryusuke, MD ; Hirose, Toyoki, MD ; Kajiwara, Ichiro, MD ; Matsumura, Toshiyuki, MD ; Nakamura, Natsuki, MD ; Yamamoto, Nobuyasu, MD ; Koide, Shunichi, MD ; Nakamura, Shinichi, MD ; Morikami, Yasuhiro, MD ; Sakaino, Naritsugu, MD ; Kaikita, Koichi, MD ; Nakamura, Sunao, MD, FJCC ; Matsui, Kunihiko, MD ; Ogawa, Hisao, MD, FJCC</creator><creatorcontrib>Akasaka, Tomonori, MD ; Hokimoto, Seiji, MD, FJCC ; Sueta, Daisuke, MD ; Tabata, Noriaki, MD ; Oshima, Shuichi, MD ; Nakao, Koichi, MD ; Fujimoto, Kazuteru, MD ; Miyao, Yuji, MD, FJCC ; Shimomura, Hideki, MD ; Tsunoda, Ryusuke, MD ; Hirose, Toyoki, MD ; Kajiwara, Ichiro, MD ; Matsumura, Toshiyuki, MD ; Nakamura, Natsuki, MD ; Yamamoto, Nobuyasu, MD ; Koide, Shunichi, MD ; Nakamura, Shinichi, MD ; Morikami, Yasuhiro, MD ; Sakaino, Naritsugu, MD ; Kaikita, Koichi, MD ; Nakamura, Sunao, MD, FJCC ; Matsui, Kunihiko, MD ; Ogawa, Hisao, MD, FJCC ; on behalf of Kumamoto Intervention Conference Study (KICS) Investigators ; Kumamoto Intervention Conference Study (KICS) Investigators</creatorcontrib><description>Abstract Background Based on the 2011 American College of Cardiology/American Heart Association percutaneous coronary intervention (PCI) guideline, it is recommended that PCI should be performed at hospital with onsite cardiac surgery. But, data suggest that there is no significant difference in clinical outcomes following primary or elective PCI between the two groups. We examined the impact of with or without onsite cardiac surgery on clinical outcomes following PCI for acute coronary syndrome (ACS). Methods and results From August 2008 to March 2011, subjects ( n = 3241) were enrolled from the Kumamoto Intervention Conference Study (KICS). Patients were assigned to two groups treated in hospitals with ( n = 2764) or without ( n = 477) onsite cardiac surgery. Clinical events were followed up for 12 months. Primary endpoint was in-hospital death, cardiovascular death, myocardial infarction, and stroke. And we monitored in-hospital events, non-cardiovascular deaths, bleeding complications, revascularizations, and emergent coronary artery bypass grafting (CABG). There was no overall significant difference in primary endpoint between hospitals with and without onsite cardiac surgery [ACS, 7.6% vs. 8.0%, p = 0.737; ST-segment elevation myocardial infarction (STEMI), 10.4% vs. 7.5%, p = 0.200]. There was also no significant difference when events in primary endpoint were considered separately. In other events, revascularization was more frequently seen in hospitals with onsite surgery (ACS, 20.0% vs. 13.0%, p < 0.001; STEMI, 21.9% vs. 14.5%, p = 0.009). We performed propensity score matching analysis to correct for the disparate patient numbers between the two groups, and there was also no significant difference for primary endpoint (ACS, 8.6% vs. 7.5%, p = 0.547; STEMI, 11.2% vs. 7.5%, p = 0.210). Conclusions There is no significant difference in clinical outcomes following PCI for ACS between hospitals with and without onsite cardiac surgery backup in Japan.</description><identifier>ISSN: 0914-5087</identifier><identifier>EISSN: 1876-4738</identifier><identifier>DOI: 10.1016/j.jjcc.2016.01.012</identifier><identifier>PMID: 26928574</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Acute coronary syndrome ; Acute Coronary Syndrome - mortality ; Acute Coronary Syndrome - therapy ; Aged ; Cardiovascular ; Clinical outcomes ; Female ; Hospital Mortality ; Hospital with or without onsite cardiac surgery back up ; Hospitals, Low-Volume ; Humans ; Japan - epidemiology ; Male ; Myocardial Infarction - epidemiology ; Percutaneous coronary intervention ; Percutaneous Coronary Intervention - statistics & numerical data ; Propensity Score ; Registries ; Stroke - epidemiology</subject><ispartof>Journal of cardiology, 2017-01, Vol.69 (1), p.103-109</ispartof><rights>Japanese College of Cardiology</rights><rights>2016 Japanese College of Cardiology</rights><rights>Copyright © 2016 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-ecc62eb7415b703e3896a4608710d30d994accac8adcd65d6cc7844f7c006c8c3</citedby><cites>FETCH-LOGICAL-c479t-ecc62eb7415b703e3896a4608710d30d994accac8adcd65d6cc7844f7c006c8c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S091450871600023X$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26928574$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akasaka, Tomonori, MD</creatorcontrib><creatorcontrib>Hokimoto, Seiji, MD, FJCC</creatorcontrib><creatorcontrib>Sueta, Daisuke, MD</creatorcontrib><creatorcontrib>Tabata, Noriaki, MD</creatorcontrib><creatorcontrib>Oshima, Shuichi, MD</creatorcontrib><creatorcontrib>Nakao, Koichi, MD</creatorcontrib><creatorcontrib>Fujimoto, Kazuteru, MD</creatorcontrib><creatorcontrib>Miyao, Yuji, MD, FJCC</creatorcontrib><creatorcontrib>Shimomura, Hideki, MD</creatorcontrib><creatorcontrib>Tsunoda, Ryusuke, MD</creatorcontrib><creatorcontrib>Hirose, Toyoki, MD</creatorcontrib><creatorcontrib>Kajiwara, Ichiro, MD</creatorcontrib><creatorcontrib>Matsumura, Toshiyuki, MD</creatorcontrib><creatorcontrib>Nakamura, Natsuki, MD</creatorcontrib><creatorcontrib>Yamamoto, Nobuyasu, MD</creatorcontrib><creatorcontrib>Koide, Shunichi, MD</creatorcontrib><creatorcontrib>Nakamura, Shinichi, MD</creatorcontrib><creatorcontrib>Morikami, Yasuhiro, MD</creatorcontrib><creatorcontrib>Sakaino, Naritsugu, MD</creatorcontrib><creatorcontrib>Kaikita, Koichi, MD</creatorcontrib><creatorcontrib>Nakamura, Sunao, MD, FJCC</creatorcontrib><creatorcontrib>Matsui, Kunihiko, MD</creatorcontrib><creatorcontrib>Ogawa, Hisao, MD, FJCC</creatorcontrib><creatorcontrib>on behalf of Kumamoto Intervention Conference Study (KICS) Investigators</creatorcontrib><creatorcontrib>Kumamoto Intervention Conference Study (KICS) Investigators</creatorcontrib><title>Clinical outcomes of percutaneous coronary intervention for acute coronary syndrome between hospitals with and without onsite cardiac surgery backup</title><title>Journal of cardiology</title><addtitle>J Cardiol</addtitle><description>Abstract Background Based on the 2011 American College of Cardiology/American Heart Association percutaneous coronary intervention (PCI) guideline, it is recommended that PCI should be performed at hospital with onsite cardiac surgery. But, data suggest that there is no significant difference in clinical outcomes following primary or elective PCI between the two groups. We examined the impact of with or without onsite cardiac surgery on clinical outcomes following PCI for acute coronary syndrome (ACS). Methods and results From August 2008 to March 2011, subjects ( n = 3241) were enrolled from the Kumamoto Intervention Conference Study (KICS). Patients were assigned to two groups treated in hospitals with ( n = 2764) or without ( n = 477) onsite cardiac surgery. Clinical events were followed up for 12 months. Primary endpoint was in-hospital death, cardiovascular death, myocardial infarction, and stroke. And we monitored in-hospital events, non-cardiovascular deaths, bleeding complications, revascularizations, and emergent coronary artery bypass grafting (CABG). There was no overall significant difference in primary endpoint between hospitals with and without onsite cardiac surgery [ACS, 7.6% vs. 8.0%, p = 0.737; ST-segment elevation myocardial infarction (STEMI), 10.4% vs. 7.5%, p = 0.200]. There was also no significant difference when events in primary endpoint were considered separately. In other events, revascularization was more frequently seen in hospitals with onsite surgery (ACS, 20.0% vs. 13.0%, p < 0.001; STEMI, 21.9% vs. 14.5%, p = 0.009). We performed propensity score matching analysis to correct for the disparate patient numbers between the two groups, and there was also no significant difference for primary endpoint (ACS, 8.6% vs. 7.5%, p = 0.547; STEMI, 11.2% vs. 7.5%, p = 0.210). Conclusions There is no significant difference in clinical outcomes following PCI for ACS between hospitals with and without onsite cardiac surgery backup in Japan.</description><subject>Acute coronary syndrome</subject><subject>Acute Coronary Syndrome - mortality</subject><subject>Acute Coronary Syndrome - therapy</subject><subject>Aged</subject><subject>Cardiovascular</subject><subject>Clinical outcomes</subject><subject>Female</subject><subject>Hospital Mortality</subject><subject>Hospital with or without onsite cardiac surgery back up</subject><subject>Hospitals, Low-Volume</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Myocardial Infarction - epidemiology</subject><subject>Percutaneous coronary intervention</subject><subject>Percutaneous Coronary Intervention - statistics & numerical data</subject><subject>Propensity Score</subject><subject>Registries</subject><subject>Stroke - epidemiology</subject><issn>0914-5087</issn><issn>1876-4738</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uk2LFDEQDaK44-of8CA5eukxSafT3SCCDH7BggcVvIV0pdpNb08yJuld5n_4g007o4IHoSAFee8Vr14R8pSzLWdcvZi20wSwFaXfMl5K3CMb3rWqkm3d3Scb1nNZNaxrL8ijlCbGFOs79ZBcCNWLrmnlhvzYzc47MDMNS4awx0TDSA8YYcnGY1gShRCDN_FInc8Yb9FnFzwdQ6SmgPDvfzp6G4sEHTDfIXp6HdLBZTMneufyNTXe_mrKJBp8civXROsM0LTEb1gkBgM3y-ExeTAWFj45v5fky9s3n3fvq6uP7z7sXl9VINs-VwigBA6t5M3QshrrrldGquKXM1sz2_fSABjojAWrGqsA2k7KsYWyCeigviTPT7qHGL4vmLLeuwQ4zyfnmndCqaaXrC9QcYJCDClFHPUhun1xrTnTaxp60msaek1DM15KFNKzs_4y7NH-ofxefwG8PAGwuLx1GHUChx7QuoiQtQ3u__qv_qHDOc0bPGKawhJ92Z_mOgnN9Kf1HtZz4IoxJuqv9U9Ir7VJ</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Akasaka, Tomonori, MD</creator><creator>Hokimoto, Seiji, MD, FJCC</creator><creator>Sueta, Daisuke, MD</creator><creator>Tabata, Noriaki, MD</creator><creator>Oshima, Shuichi, MD</creator><creator>Nakao, Koichi, MD</creator><creator>Fujimoto, Kazuteru, MD</creator><creator>Miyao, Yuji, MD, FJCC</creator><creator>Shimomura, Hideki, MD</creator><creator>Tsunoda, Ryusuke, MD</creator><creator>Hirose, Toyoki, MD</creator><creator>Kajiwara, Ichiro, MD</creator><creator>Matsumura, Toshiyuki, MD</creator><creator>Nakamura, Natsuki, MD</creator><creator>Yamamoto, Nobuyasu, MD</creator><creator>Koide, Shunichi, MD</creator><creator>Nakamura, Shinichi, MD</creator><creator>Morikami, Yasuhiro, MD</creator><creator>Sakaino, Naritsugu, MD</creator><creator>Kaikita, Koichi, MD</creator><creator>Nakamura, Sunao, MD, FJCC</creator><creator>Matsui, Kunihiko, MD</creator><creator>Ogawa, Hisao, MD, FJCC</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170101</creationdate><title>Clinical outcomes of percutaneous coronary intervention for acute coronary syndrome between hospitals with and without onsite cardiac surgery backup</title><author>Akasaka, Tomonori, MD ; Hokimoto, Seiji, MD, FJCC ; Sueta, Daisuke, MD ; Tabata, Noriaki, MD ; Oshima, Shuichi, MD ; Nakao, Koichi, MD ; Fujimoto, Kazuteru, MD ; Miyao, Yuji, MD, FJCC ; Shimomura, Hideki, MD ; Tsunoda, Ryusuke, MD ; Hirose, Toyoki, MD ; Kajiwara, Ichiro, MD ; Matsumura, Toshiyuki, MD ; Nakamura, Natsuki, MD ; Yamamoto, Nobuyasu, MD ; Koide, Shunichi, MD ; Nakamura, Shinichi, MD ; Morikami, Yasuhiro, MD ; Sakaino, Naritsugu, MD ; Kaikita, Koichi, MD ; Nakamura, Sunao, MD, FJCC ; Matsui, Kunihiko, MD ; Ogawa, Hisao, MD, FJCC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-ecc62eb7415b703e3896a4608710d30d994accac8adcd65d6cc7844f7c006c8c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acute coronary syndrome</topic><topic>Acute Coronary Syndrome - mortality</topic><topic>Acute Coronary Syndrome - therapy</topic><topic>Aged</topic><topic>Cardiovascular</topic><topic>Clinical outcomes</topic><topic>Female</topic><topic>Hospital Mortality</topic><topic>Hospital with or without onsite cardiac surgery back up</topic><topic>Hospitals, Low-Volume</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Myocardial Infarction - epidemiology</topic><topic>Percutaneous coronary intervention</topic><topic>Percutaneous Coronary Intervention - statistics & numerical data</topic><topic>Propensity Score</topic><topic>Registries</topic><topic>Stroke - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akasaka, Tomonori, MD</creatorcontrib><creatorcontrib>Hokimoto, Seiji, MD, FJCC</creatorcontrib><creatorcontrib>Sueta, Daisuke, MD</creatorcontrib><creatorcontrib>Tabata, Noriaki, MD</creatorcontrib><creatorcontrib>Oshima, Shuichi, MD</creatorcontrib><creatorcontrib>Nakao, Koichi, MD</creatorcontrib><creatorcontrib>Fujimoto, Kazuteru, MD</creatorcontrib><creatorcontrib>Miyao, Yuji, MD, FJCC</creatorcontrib><creatorcontrib>Shimomura, Hideki, MD</creatorcontrib><creatorcontrib>Tsunoda, Ryusuke, MD</creatorcontrib><creatorcontrib>Hirose, Toyoki, MD</creatorcontrib><creatorcontrib>Kajiwara, Ichiro, MD</creatorcontrib><creatorcontrib>Matsumura, Toshiyuki, MD</creatorcontrib><creatorcontrib>Nakamura, Natsuki, MD</creatorcontrib><creatorcontrib>Yamamoto, Nobuyasu, MD</creatorcontrib><creatorcontrib>Koide, Shunichi, MD</creatorcontrib><creatorcontrib>Nakamura, Shinichi, MD</creatorcontrib><creatorcontrib>Morikami, Yasuhiro, MD</creatorcontrib><creatorcontrib>Sakaino, Naritsugu, MD</creatorcontrib><creatorcontrib>Kaikita, Koichi, MD</creatorcontrib><creatorcontrib>Nakamura, Sunao, MD, FJCC</creatorcontrib><creatorcontrib>Matsui, Kunihiko, MD</creatorcontrib><creatorcontrib>Ogawa, Hisao, MD, FJCC</creatorcontrib><creatorcontrib>on behalf of Kumamoto Intervention Conference Study (KICS) Investigators</creatorcontrib><creatorcontrib>Kumamoto Intervention Conference Study (KICS) Investigators</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akasaka, Tomonori, MD</au><au>Hokimoto, Seiji, MD, FJCC</au><au>Sueta, Daisuke, MD</au><au>Tabata, Noriaki, MD</au><au>Oshima, Shuichi, MD</au><au>Nakao, Koichi, MD</au><au>Fujimoto, Kazuteru, MD</au><au>Miyao, Yuji, MD, FJCC</au><au>Shimomura, Hideki, MD</au><au>Tsunoda, Ryusuke, MD</au><au>Hirose, Toyoki, MD</au><au>Kajiwara, Ichiro, MD</au><au>Matsumura, Toshiyuki, MD</au><au>Nakamura, Natsuki, MD</au><au>Yamamoto, Nobuyasu, MD</au><au>Koide, Shunichi, MD</au><au>Nakamura, Shinichi, MD</au><au>Morikami, Yasuhiro, MD</au><au>Sakaino, Naritsugu, MD</au><au>Kaikita, Koichi, MD</au><au>Nakamura, Sunao, MD, FJCC</au><au>Matsui, Kunihiko, MD</au><au>Ogawa, Hisao, MD, FJCC</au><aucorp>on behalf of Kumamoto Intervention Conference Study (KICS) Investigators</aucorp><aucorp>Kumamoto Intervention Conference Study (KICS) Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical outcomes of percutaneous coronary intervention for acute coronary syndrome between hospitals with and without onsite cardiac surgery backup</atitle><jtitle>Journal of cardiology</jtitle><addtitle>J Cardiol</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>69</volume><issue>1</issue><spage>103</spage><epage>109</epage><pages>103-109</pages><issn>0914-5087</issn><eissn>1876-4738</eissn><abstract>Abstract Background Based on the 2011 American College of Cardiology/American Heart Association percutaneous coronary intervention (PCI) guideline, it is recommended that PCI should be performed at hospital with onsite cardiac surgery. But, data suggest that there is no significant difference in clinical outcomes following primary or elective PCI between the two groups. We examined the impact of with or without onsite cardiac surgery on clinical outcomes following PCI for acute coronary syndrome (ACS). Methods and results From August 2008 to March 2011, subjects ( n = 3241) were enrolled from the Kumamoto Intervention Conference Study (KICS). Patients were assigned to two groups treated in hospitals with ( n = 2764) or without ( n = 477) onsite cardiac surgery. Clinical events were followed up for 12 months. Primary endpoint was in-hospital death, cardiovascular death, myocardial infarction, and stroke. And we monitored in-hospital events, non-cardiovascular deaths, bleeding complications, revascularizations, and emergent coronary artery bypass grafting (CABG). There was no overall significant difference in primary endpoint between hospitals with and without onsite cardiac surgery [ACS, 7.6% vs. 8.0%, p = 0.737; ST-segment elevation myocardial infarction (STEMI), 10.4% vs. 7.5%, p = 0.200]. There was also no significant difference when events in primary endpoint were considered separately. In other events, revascularization was more frequently seen in hospitals with onsite surgery (ACS, 20.0% vs. 13.0%, p < 0.001; STEMI, 21.9% vs. 14.5%, p = 0.009). We performed propensity score matching analysis to correct for the disparate patient numbers between the two groups, and there was also no significant difference for primary endpoint (ACS, 8.6% vs. 7.5%, p = 0.547; STEMI, 11.2% vs. 7.5%, p = 0.210). Conclusions There is no significant difference in clinical outcomes following PCI for ACS between hospitals with and without onsite cardiac surgery backup in Japan.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>26928574</pmid><doi>10.1016/j.jjcc.2016.01.012</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0914-5087 |
| ispartof | Journal of cardiology, 2017-01, Vol.69 (1), p.103-109 |
| issn | 0914-5087 1876-4738 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1826659409 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Acute coronary syndrome Acute Coronary Syndrome - mortality Acute Coronary Syndrome - therapy Aged Cardiovascular Clinical outcomes Female Hospital Mortality Hospital with or without onsite cardiac surgery back up Hospitals, Low-Volume Humans Japan - epidemiology Male Myocardial Infarction - epidemiology Percutaneous coronary intervention Percutaneous Coronary Intervention - statistics & numerical data Propensity Score Registries Stroke - epidemiology |
| title | Clinical outcomes of percutaneous coronary intervention for acute coronary syndrome between hospitals with and without onsite cardiac surgery backup |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T21%3A53%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Clinical%20outcomes%20of%20percutaneous%20coronary%20intervention%20for%20acute%20coronary%20syndrome%20between%20hospitals%20with%20and%20without%20onsite%20cardiac%20surgery%20backup&rft.jtitle=Journal%20of%20cardiology&rft.au=Akasaka,%20Tomonori,%20MD&rft.aucorp=on%20behalf%20of%20Kumamoto%20Intervention%20Conference%20Study%20(KICS)%20Investigators&rft.date=2017-01-01&rft.volume=69&rft.issue=1&rft.spage=103&rft.epage=109&rft.pages=103-109&rft.issn=0914-5087&rft.eissn=1876-4738&rft_id=info:doi/10.1016/j.jjcc.2016.01.012&rft_dat=%3Cproquest_cross%3E1826659409%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1826659409&rft_id=info:pmid/26928574&rft_els_id=S091450871600023X&rfr_iscdi=true |