Evidence map›Paper›PMID 37185925›Full record

ArticleCardiovascular intervention and therapeutics2023

Volume-outcome relationship in complication-related mortality after percutaneous coronary interventions: an analysis on the failure-to-rescue rate in the Japanese Nationwide Registry.

Tomo Ando, Kyohei Yamaji, Shun Kohsaka, Motoki Fukutomi, Takayuki Onishi, Taku Inohara, Hideki Ishii, Tetsuya Amano, Yuji Ikari, Tetsuya Tobaru

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Article in Cardiovascular intervention and therapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tomo AndoCenter of Cardiovascular Disease, Kawasaki Saiwai Hospital, 31-27 Omiyacho, Saiwai Ward, Kawasaki, Kanagawa, 212-0014, Japan. andotomo@hotmail.co.jp.ORCID http://orcid.org/0000-0001-6827-8234
Kyohei YamajiDepartment of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Shun KohsakaDepartment of Cardiovascular Medicine, Keio University Graduate School of Medicine, Tokyo, Japan.
Motoki FukutomiCenter of Cardiovascular Disease, Kawasaki Saiwai Hospital, 31-27 Omiyacho, Saiwai Ward, Kawasaki, Kanagawa, 212-0014, Japan.
Takayuki OnishiCenter of Cardiovascular Disease, Kawasaki Saiwai Hospital, 31-27 Omiyacho, Saiwai Ward, Kawasaki, Kanagawa, 212-0014, Japan.
Taku InoharaDepartment of Cardiovascular Medicine, Keio University Graduate School of Medicine, Tokyo, Japan.
Hideki IshiiDepartment of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan.
Tetsuya AmanoDepartment of Cardiovascular Medicine, Aichi Medical University Graduate School of Medicine, Aichi, Japan.
Yuji IkariDepartment of Cardiology, Tokai University Graduate School of Medicine, Isehara, Japan.
Tetsuya TobaruCenter of Cardiovascular Disease, Kawasaki Saiwai Hospital, 31-27 Omiyacho, Saiwai Ward, Kawasaki, Kanagawa, 212-0014, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In-hospital mortality following percutaneous coronary intervention (PCI) varies across institutions with different annual PCI volumes. The failure to rescue (FTR) rate, defined as the mortality rate following PCI-related complications, may account for the volume-outcome relationship. The Japanese Nationwide PCI Registry, a consecutive, nationally mandated registry between 2019 and 2020, was queried. The FTR rate is defined as 'the number of patients who died following PCI-related complications' divided by 'the number of patients who experienced at least one PCI-related complication.' Multivariate analysis was used to calculate the risk-adjusted odds ratio (aOR) of the FTR rates among hospitals stratified into tertiles as low (≤ 236/year), medium (237-405/year), and high (≥ 406/year). A total of 465,716 PCIs and 1007 institutions were included. A volume-outcome relationship was observed for in-hospital mortality, and the medium-volume (aOR 0.90, 95% confidence interval [CI] 0.85-0.96), as well as high-volume (aOR 0.84, 95% CI 0.79-0.89) hospitals, had significantly lower in-hospital mortality than low-volume hospitals. Complication rates were lower at high-volume centers (1.9%, 2.2%, and 2.6% for high-, medium-, and low-volume centers, respectively; p < 0.001). The overall FTR rate was 19.0%. The FTR rates for the low-, medium-, and high-volume hospitals were 19.3%, 17.7%, and 20.6%, respectively. The medium-volume hospitals had a lower FTR rate (aOR 0.82, 95% [CI] 0.68-0.99), whereas the FTR rate was similar at the high-volume hospitals compared with that of the low-volume hospitals (aOR 1.02, 95% CI 0.83-1.26). In-hospital mortality was low after PCI in high-volume hospitals. However, the FTR rate in high-volume hospitals was not necessarily lower than that in low-volume hospitals. The FTR rate did not account for the volume-outcome relationship in PCI.

Indexed as

Percutaneous Coronary InterventionPostoperative ComplicationsEast Asian PeopleHospital MortalityHumansRegistriesFailure to rescueHospital volumePercutaneous coronary intervention

Identifiers

PMID37185925

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.