2008年至2012年期间,医疗保险受益人群中冠状动脉复血管化手术的趋势
Steven D Culler1, Aaron D Kugelmass2, Phillip P Brown2
1From the Rollins School of Public Health, Emory University, Atlanta, GA (S.D.C.); Baystate Health, Springfield, MA (A.D.K.); HealthTrust Purchasing Group, L.P., Nashville, TN (P.P.B., A.W.S.); and Lahey Hospital & Medical Center, Burlington, MA (M.R.R.). sculler@emory.edu.
Circulation
|December 24, 2014
概括
医疗保险受益者的冠状动脉再血管化手术在2010年后下降,转向门诊皮肤冠状动脉干预 (PCI). 这些心脏手术的整体死亡率保持稳定.
科学领域:
- 心血管外科心血管外科
- 医疗保健服务研究 医疗服务研究
- 老年心脏病学 老年心脏病学
背景情况:
- 研究了2008年至2012年医疗保险受益人群中冠状动脉复血管化手术的趋势.
- 专注于程序量和患者结果的变化.
研究的目的:
- 分析冠状动脉复血管化手术的体积和结果的时间趋势.
- 为了比较冠状动脉旁路移植手术和皮肤冠状动脉干预 (PCI) 之间的结果.
- 评估这些程序的设施利用情况的变化.
主要方法:
- 从2008年至2012年对医疗保险受益者数据 (2,768007条记录) 的回顾性分析.
- 使用ICD-9-CM,CPT和APC代码识别冠状动脉旁路移植手术和皮肤冠状动脉干预 (PCI).
- 包括住院和非住院 (门诊) 设置.
主要成果:
- 观察到非入院PCI程序的显著增加,而住院PCI体积下降.
- 在研究期间,冠状动脉旁路移植手术的入院率也下降了.
- 与PCI相比,冠状动脉旁路移植手术与较低的死亡率有关,尽管整体死亡率保持稳定.
- 报告指出,所有类型的复血管化手术的设施数量都在增加.
结论:
- 冠状动脉复血管化手术的总量在2010年达到峰值,随后下降.
- 接受再血管化治疗的医疗保险受益人的年死亡率保持在2.1%至2.2%之间.
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