Use and in-hospital mortality associated with two cardiac procedures, by sex and age: National trends, 1990-2004

被引:21
作者
Holmes, Julia S. [1 ]
Kozak, Lola Jean [1 ]
Owings, Maria F. [1 ]
机构
[1] Natl Ctr Hlth Stat, Hyattsville, MD 20782 USA
关键词
D O I
10.1377/hlthaff.26.1.169
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This study used data from the National Hospital Discharge Survey to examine sex- and age-specific trends in use and in-hospital mortality associated with coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) among adults age forty-five and older during 1990-2004. Although use rates for PCI increased 58 percent over the study period, CABG use rates declined. In-hospital death rates declined or stayed the same even though comorbidities increased for patients who received the procedures. PCI and CABG use rates for men were at least twice those for women, although women generally had more comorbidities and higher in-hospital death rates.
引用
收藏
页码:169 / 177
页数:9
相关论文
共 28 条
[1]   Association between gender and in-hospital mortality after percutaneous coronary intervention according to age [J].
Abramson, JL ;
Veledar, E ;
Weintraub, WS ;
Vaccarino, V .
AMERICAN JOURNAL OF CARDIOLOGY, 2003, 91 (08) :968-971
[2]   Attitudes about treatment of coronary heart disease among women and men presenting for exercise testing [J].
Ayanian, JZ ;
Epstein, AM .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1997, 12 (05) :311-314
[3]   Sex disparities in procedure use for acute myocardial infarction in the United States, 1995 to 2001 [J].
Bertoni, AG ;
Bonds, DE ;
Lovato, J ;
Goff, DC ;
Brancati, FL .
AMERICAN HEART JOURNAL, 2004, 147 (06) :1054-1060
[4]   Propensity analysis of long-term survival after surgical or percutaneous revascularization in patients with multivessel coronary artery disease and high-risk features [J].
Brener, SJ ;
Lytle, BW ;
Casserly, IP ;
Schneider, JP ;
Topol, EJ ;
Lauer, MS .
CIRCULATION, 2004, 109 (19) :2290-2295
[5]   Observations of the treatment of women in the United States with myocardial infarction - A report from the National Registry of Myocardial Infarction-I [J].
Chandra, NC ;
Ziegelstein, RC ;
Rogers, WJ ;
Tiefenbrunn, AJ ;
Gore, JM ;
French, WJ ;
Rubison, M .
ARCHIVES OF INTERNAL MEDICINE, 1998, 158 (09) :981-988
[6]  
Dennison C, 2000, Vital Health Stat 1, P1
[7]   ADAPTING A CLINICAL COMORBIDITY INDEX FOR USE WITH ICD-9-CM ADMINISTRATIVE DATABASES [J].
DEYO, RA ;
CHERKIN, DC ;
CIOL, MA .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1992, 45 (06) :613-619
[8]  
EAGLE KA, 2004, ACC AHA 2004 GUIDELI
[9]   Sex differences in access to coronary revascularization after cardiac catheterization: Importance of detailed clinical data [J].
Ghali, WA ;
Faris, PD ;
Galbraith, D ;
Norris, CM ;
Curtis, MJ ;
Saunders, LD ;
Dzavik, V ;
Mitchell, LB ;
Knudtson, ML .
ANNALS OF INTERNAL MEDICINE, 2002, 136 (10) :723-732
[10]  
GILLUM BS, 1996, VITAL HLTH STAT 13, V124, P1