Rates of coronary angiography for patients with out-of-hospital cardiac arrest (OHCA) are similar across states with and without public reporting of PCI outcomes, according to a new study, but investigators say the findings might not tell the whole story when it comes to avoiding treatment of high-risk patient populations, writes TCTMD.
Overall, there appeared to be modest “spillover” effect of public reporting on the use of coronary angiography in OHCA, although the difference between states was not statistically significant. The unadjusted rate of coronary angiography in New York and Massachusetts, where PCI outcomes are publicly reported, was 20.8%; it was 22.8% in Delaware, Connecticut, Maine, Vermont, Maryland, and Rhode Island, six neighboring states that do not mandate public reporting (P = 0.35).
Using the NIS database researchers analyzed 50,125 admission records with out-of-hospital cardiac arrest between 2005 and 2011.
- TCTMD: https://www.tctmd.com/news/does-pci-public-reporting-affect-angiography-out-hospital-cardiac-arrest
- Effect of Public Reporting on the Utilization of Coronary Angiography After Out-of-Hospital Cardiac Arrest. Circulation: Cardiovascular Interventions. 8 April 2019.