30-day mortality after percutaneous coronary intervention in New Zealand public hospitals (ANZACS-QI 18)

N Z Med J. 2017 Jul 21;130(1459):54-63.

Abstract

Aim: The aim of this report is to provide hospitals in New Zealand with data about their own outcomes for percutaneous coronary intervention (PCI) procedures and allow comparisons with other New Zealand units and with international data.

Methods: All PCI procedures (n=5,033) were identified in nine public hospital catheterisation laboratories between 1 October 2014 and 30 September 2015. Risk-adjusted mortality rates were derived for each hospital and compared with the national rate.

Results: The overall 30-day mortality rate after PCI was 1.23%. The national 30-day mortality rates were 3.28% for the subgroup of patients treated for a ST segment elevation myocardial infarct and 0.66% for those treated for other acute coronary syndrome (ACS) or non-ACS indications. There were no statistically significant differences in outcomes between the different New Zealand public hospital catheterisation laboratories, either overall or for each patient subgroup.

Conclusions: Mortality rates in the first 30 days after PCI are low and comparable across New Zealand public hospitals. The outcomes are comparable with international experience.

Publication types

  • Multicenter Study

MeSH terms

  • Acute Coronary Syndrome / mortality*
  • Acute Coronary Syndrome / surgery
  • Aged
  • Aged, 80 and over
  • Coronary Angiography
  • Demography
  • Female
  • Hospitals, Public / statistics & numerical data*
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Myocardial Infarction / mortality*
  • Myocardial Infarction / surgery
  • New Zealand / epidemiology
  • Percutaneous Coronary Intervention / mortality*
  • Time Factors