Table 3:
In-hospital mortality by operator volume
Unadjusted HR (95% CI) | Adjusted HR (95% CI) | |
---|---|---|
Overall | ||
High vs. low volume | 0.81 (0.77–0.87)* | 0.79 (0.75–0.83)* |
Intermediate vs. low volume | 0.95 (0.89–1.01) | 0.91 (0.86–0.96)* |
STEMI only | ||
High vs. low volume | 0.90 (0.85–0.96)* | 0.87 (0.82–0.92)* |
Intermediate vs. low volume | 0.92 (0.86–0.99)* | 0.90 (0.84–0.95)* |
UA/NSTEMI only | ||
High vs. low volume | 0.95 (0.87–1.05) | 0.87 (0.80–0.95) * |
Intermediate vs. low volume | 1.02 (0.92–1.13) | 0.98 (0.89–1.08) |
Stable angina only | ||
High vs. low volume | 0.82 (0.55–1.22) | 0.76 (0.51–1.12) |
Intermediate vs. low volume | 1.09 (0.72–1.65) | 1.05 (0.69–1.58) |
Chronic total occlusion | ||
High vs. low volume | 0.55 (0.45–0.67)* | 0.71 (0.60–0.86)* |
Intermediate vs. low volume | 0.80 (0.66–0.98)* | 0.86 (0.72–1.04) |
Bifurcation lesion | ||
High vs. low volume | 0.78 (0.68–0.90)* | 0.77 (0.67–0.88)* |
Intermediate vs. low volume | 0.91 (0.79–1.06) | 0.89 (0.77–1.02) |
Left main lesion | ||
High vs. low volume | 0.72 (0.57–0.91)* | 0.73 (0.60–0.89)* |
Intermediate vs. low volume | 1.15 (0.91–1.46) | 1.07 (0.87–1.31) |
p < 0.05. MI, myocardial infarction; OR, odds ratio; CI, confidence interval; STEMI, ST segment elevation MI; UA, unstable angina; NSTEMI, non-ST segment elevation MI; CTO, chronic total occlusion. Low-volume operators performed < 50 PCIs/year; intermediate-volume operators performed 50–100 PCIs/year; high-volume operators performed > 100 PCIs/year