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Study Finds PCI Procedural Mortality in Isolation Not Reflect Quality of Cardiovascular Care for AMI Patients

A new study published in JAMA Cardiology examined how hospital performance for patients with acute myocardial infarction differ when assessed by disease-based mortality compared with procedural mortality for percutaneous coronary intervention. The cross-sectional study of 776 890 patients found moderate correlation between hospital-level disease-based mortality and procedural mortality, with considerable reclassification of hospital performance between the 2 measures. Based on observed disease-based mortality and procedural mortality statistics, potential risk-avoidant behavior was identified among treatment decisions for the highest-risk patients with cardiogenic shock or cardiac arrest. The study concluded that percutaneous coronary intervention procedural mortality in isolation may not accurately reflect the quality of cardiovascular care delivered by hospitals for patients with acute myocardial infarction.

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