Association between current and future annual hospital percutaneous coronary intervention mortality rates
JAMA Cardiology Dec 10, 2019
Sandhu AT, et al. - In order to examine the link between documented risk-adjusted hospital percutaneous coronary intervention (PCI)-related mortality and a hospital’s future PCI-associated mortality, researchers performed this inquiry utilizing data from the New York Percutaneous Intervention Reporting System from January 1, 1998, to December 31, 2016, to evaluate hospitals that perform PCI. A total of 67 New York hospitals and 960 hospital-years were included. At hospitals with high or low PCI-associated mortality rates, findings revealed a large regression of the rates to the mean the following year. Findings revealed a poor association of a hospital’s risk-adjusted mortality rate with its future mortality. These revelations are suggestive of the possible non-reliability of annual hospital PCI-related mortality as a factor related to hospital quality to consider in a practice change or when assisting patients select high-quality hospitals.
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