Hospital and Physician Variability in Revascularization Decisions and Outcomes for Patients With 3-Vessel and Left Main Coronary Artery Disease: A Population-Based Cohort Study.
Todd A WilsonMatthew Thomas JamesDanielle A SouthernBryan J HarMichelle M GrahamNeil BrassKevin R BaineyPaul W M FedakTolulope T SajobiStephen B WiltonPublished in: Journal of the American Heart Association (2024)
Hospital-level variation in selection of percutaneous coronary intervention, CABG, or medical therapy for patients with complex coronary artery disease was not associated with differences in 5-year mortality rates. Research and quality improvement initiatives comparing revascularization practices should include medically managed patients.
Keyphrases
- percutaneous coronary intervention
- coronary artery disease
- coronary artery bypass grafting
- quality improvement
- st segment elevation myocardial infarction
- healthcare
- cardiovascular events
- acute myocardial infarction
- st elevation myocardial infarction
- antiplatelet therapy
- acute coronary syndrome
- primary care
- coronary artery bypass
- end stage renal disease
- ejection fraction
- newly diagnosed
- emergency department
- chronic kidney disease
- atrial fibrillation
- acute care
- type diabetes
- prognostic factors
- patient safety
- peritoneal dialysis
- adverse drug
- risk factors
- skeletal muscle
- heart failure