RESULTS AND ADVERSE OUTCOMES AFTER PERCUTANEOUS CORONARY INTERVENTION: HISTORICAL COHORT STUDY
T Rakhypbekov1, G Shalgumbayeva2, Z Siyazbekova2
11 Republican Center for Health Development; Kazakhstan.
Insights
This study analyzed percutaneous coronary intervention (PCI) outcomes in Kazakhstan from 2012-2018. In-hospital mortality after PCI was 2.7%, with higher rates in women and older patients.
Area of Science:
- Cardiology
- Public Health
Background:
- Percutaneous coronary intervention (PCI) has rapidly advanced in Kazakhstan.
- Limited data exists on PCI outcomes within the country.
Purpose of the Study:
- To analyze outcomes of PCI in two regions of Kazakhstan between 2012 and 2018.
- To identify predictors of in-hospital mortality following PCI.
Main Methods:
- Registry-based historical cohort study.
- Analysis of 11,931 patients undergoing PCI in East Kazakhstan and Pavlodar regions.
- Multivariate logistic regression for in-hospital mortality predictors.
Main Results:
- Overall in-hospital mortality was 2.7% (320 patients).
- Higher mortality observed in women, patients aged 70+, and those with cerebral infarction.
- Independent predictors included age, gender, hospitalization route, and diagnosis.
Conclusions:
- PCI outcomes in Kazakhstan show a 2.7% in-hospital mortality rate.
- Specific patient demographics and conditions are associated with increased mortality risk.
Abstract:
Percutaneous coronary intervention (PCI) is developed in Kazakhstan very quickly for many years. But there is no information about outcomes of PCI. The objective of this study was to analyze the outcomes after percutaneous coronary interventions in two regions Kazakhstan during 2012-2018 years. This registry-based historical cohort study obtained data on all patients who underwent PCI in East Kazakhstan and Pavlodar regions of Kazakhstan. Data are presented as the means ± standard deviation or as frequencies and percentage. The incidence rates were calculated as the number of cases per 100000 person-years of follow-up and 95% CI. A multivariate logistic regression analysis was utilized to find the independent predictors for in-hospital mortality. A total of 11931 subjects were undergone of PCI. Of these, 8349 (70,0%) were male, 3582 (30,0%) were female. A total of 320 patients (2,7%) died after the PCI during in-hospital period. Patients who died in-hospital period were predominantly male (55,9%), mean age 67,8 (9,71) years. Mortality rate was higher in women, and patients who were sent by other medical Institution and in patients with diagnose cerebral infarction. In-hospital mortality rate was higher in women than in men and in patients aged 70 years and elder. Independent predictors of in-hospital mortality for patients were age, gender, way of hospitalization, diagnose.
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