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?:abstract
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Background: There is limited contemporary short-term outcome data relating to diagnostic coronary angiography (DCA) and percutaneous coronary intervention (PCI) in NZ This retrospective analysis aims to determine in-hospital outcomes in patients undergoing DCA and PCI in NZ and identify predictors of poor outcome Methods: This ANZACS-QI Cath/PCI registry-based study included 40870 patients who underwent a total of 46283 procedures over 45169 episodes of care between 01/09/2014 to 24/09/2017 Each episode of care was used to determine the in-hospital outcomes A stepwise logistic regression was used for multivariate analysis to identify predictors of outcome Results: Mean age 65 (standard deviation 12) years, male 67%, NZ European 76%, previous CABG 7% ACS indication 55% Of the total 46283 procedures performed, 85% were radial access, 28258 were DCA and 18025 were PCI The table below lists the number of adverse in-hospital outcomes by indication and procedure [Formula presented] Other procedural indications (n=6245) included valvular heart disease, heart failure and ventricular arrhythmia The independent predictors of death were age (OR 1 55/10y, p<0 0001), STEMI (OR 6 6, p<0 0001), cardiogenic shock (OR 16 9, p<0 0001) and femoral access (OR 3 4, p<0 0001) Conclusion: This study demonstrates low rates of adverse short-term outcomes in NZ patients undergoing DCA and PCI The rates of death, recurrent MI and stroke compare favourably to international registries, and the independent predictors of death identified are also similar
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