MedPage Today writes: The addition of shock patients to public reporting made no difference to risk-adjusted mortality rates after percutaneous coronary intervention (PCI) in New York state, researchers found, though some hospitals and physicians were still associated with more-than-expected deaths. Researchers tested what would happen with New York’s Percutaneous Coronary Interventions Reporting System under two circumstances: the inclusion of refractory shock patients and the exclusion of all shock patients. Neither model significantly changed the registry’s risk-adjusted mortality rates, with a minimum correlation of 0.92 for hospital-level scores, the researchers reported.
- Overall PCI Data Mostly Unaffected by Including Shock Patients. MedPage Today. February 6, 2017.
- The Impact of Excluding Shock Patients on Hospital and Physician Risk-Adjusted Mortality Rates for Percutaneous Coronary Interventions.
The Implications for Public Reporting. JACC Cardiovascular Interventions. Vol 10, Issue 3, February 1017. DOI: 10.1016/j.jcin.2016.10.040