Table 4:
MACE | Mortality | |||
---|---|---|---|---|
Unadjusted HR (95% CI) |
Adjusted HR (95% CI) |
Unadjusted HR (95% CI) |
Adjusted HR (95% CI) |
|
Overall | ||||
High vs. low volume | 1.07 (1.04–1.11)* | 1.01 (0.99–1.04) | 1.11 (1.07–1.15)* | 1.04 (1.00–1.08) |
Intermediate vs. low volume | 1.03 (1.00–1.06)* | 0.99 (0.96–1.01) | 1.07 (1.03–1.11)* | 1.01 (0.97–1.05) |
STEMI only | ||||
High vs. low volume | 1.04 (0.98–1.10) | 0.98 (0.93–1.04) | 1.07 (1.00–1.15) | 1.01 (0.94–1.09) |
Intermediate vs. low volume | 1.01 (0.95–1.07) | 0.97 (0.91–1.03) | 1.06 (0.98–1.14) | 1.00 (0.93–1.08) |
UA/NSTEMI only | ||||
High vs. low volume | 1.07 (1.04–1.11)* | 1.00 (0.97–1.04) | 1.13 (1.08–1.19)* | 1.04 (1.00–1.09) |
Intermediate vs. low volume | 1.03 (0.99–1.06) | 1.00 (0.97–1.04) | 1.08 (1.03–1.13)* | 1.04 (0.99–1.09) |
Stable angina only | ||||
High vs. low volume | 1.04 (0.97–1.11) | 0.98 (0.92–1.04) | 1.01 (0.92–1.11) | 0.93 (0.84–1.02) |
Intermediate vs. low volume | 0.96 (0.89–1.03) | 0.93 (0.87–0.99)* | 0.94 (0.85–1.04) | 0.89 (0.84–1.02) |
Chronic total occlusion | ||||
High vs. low volume | 0.92 (0.82–1.04) | 1.06 (0.93–1.21) | 0.92 (0.78–1.08) | 1.10 (0.93–1.31) |
Intermediate vs. low volume | 1.00 (0.88–1.14) | 1.01 (0.87–1.16) | 1.02 (0.86–1.21) | 1.03 (0.85–1.23) |
Bifurcation lesion | ||||
High vs. low volume | 1.13 (1.05–1.22)* | 1.07 (0.99–1.16) | 1.11 (1.01–1.23)* | 1.05 (0.95–1.16) |
Intermediate vs. low volume | 1.03 (0.95–1.12) | 1.00 (0.92–1.09) | 0.99 (0.89–1.10) | 0.95 (0.85–1.06) |
Left main lesion | ||||
High vs. low volume | 1.05 (0.91–1.20) | 0.97 (0.84–1.12) | 1.13 (0.94–1.35) | 1.01 (0.84–1.22) |
Intermediate vs. low volume | 0.91 (0.79–1.06) | 0.97 (0.84–1.12) | 1.00 (0.83–1.22) | 0.89 (0.73–1.10) |
p < 0.05. MACE, major adverse cardiovascular events (all-cause death, readmission for myocardial infarction, unplanned revascularization); HR, hazard ratio; all other abbreviations per Table 3. Low-volume operators performed < 50 PCIs/year; intermediate-volume operators performed 50–100 PCIs/year; high-volume operators performed > 100 PCIs/year