Board-Certified Interventional Cardiologist Involvement and In-Hospital Outcomes - Insights From the Japanese
Tsuyoshi Ito1, Yuichiro Mori2, Shun Kohsaka3
1Department of Cardiology, Nagoya City University Graduate School of Medical Sciences.
Summary
Board-certified interventional cardiologists (ICs) involvement in percutaneous coronary intervention (PCI) is linked to better patient outcomes. Their participation in PCI procedures significantly reduces in-hospital mortality and complications, enhancing procedural quality.
Area of Science:
- Cardiology
- Interventional Cardiology
- Health Outcomes Research
Background:
- Percutaneous coronary intervention (PCI) safety has improved, yet outcomes vary.
- The role of certified interventional cardiologists (ICs) in PCI outcomes requires further investigation.
Purpose of the Study:
- To evaluate the association between board-certified IC involvement and in-hospital outcomes following PCI.
- To analyze PCI cases using a nationwide Japanese registry.
Main Methods:
- Analysis of 842,335 PCI cases from 2020-2023.
- Classification of cases based on board-certified IC involvement (primary operator or assistant).
- Statistical adjustment for baseline characteristics.
Main Results:
- Board-certified IC involvement occurred in 68.8% of cases.
- IC involvement was associated with lower in-hospital mortality (OR 0.89), complications (OR 0.94), and bleeding (OR 0.88).
- Benefits were consistent across subgroups, with stronger effects in patients without acute coronary syndrome.
Conclusions:
- Board-certified IC participation in PCI is independently linked to improved in-hospital outcomes.
- IC involvement signifies quality enhancement in PCI procedures.
Keywords:
Board-certified interventional cardiologistIn-hospital outcomesPercutaneous coronary interventionMore Related Videos
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