Coronary disease & ACSCohort study
Long-Term Clinical Outcomes With Defect-Free Care Adherent to the Performance Measures in Patients with STEMI Undergoing PCI in Japan
- multicenter registry
- 22 centers in Japan
- consecutive patients
- 2011 and 2013
- Cox proportional hazards models, adjusting for baseline characteristics
Authors' conclusion
Defect-free care adherent to the performance measures was associated with improved long-term clinical outcomes, including lower mortality, among patients with STEMI undergoing percutaneous coronary intervention, whereas no association was observed for repeat coronary revascularization.
Study context
- Population
- Patients with STEMI who underwent percutaneous coronary intervention within 24 hours after symptom onset and survived to discharge (CREDO-Kyoto AMI Registry Wave-2)patients with STEMI who underwent PCI within 24 hours and survived to discharge · PMs=9 551 · PMs=8 985 · PMs=7 794 · PMs≤6 562
- Participants
- 2,892 patients
- Exposure
- Adherence to 9 guideline-based performance measures for STEMI care, by number of fulfilled performance measures, relative to PMs=9
- PMs=9n = 551reference
- PMs=8n = 985
- PMs=7n = 794
- PMs≤6n = 562
- Outcome
- All-cause death
- Follow-up
- 5-year cumulative incidence; median 6.0 years (interquartile range, 5.1-6.8)
Main finding
As reported in the abstract
Each group vs PMs=9Adjusted hazard ratio (95% CI)
PMs=8
1.14(0.83–1.57)
PMs=7
1.36(0.99–1.87)
PMs≤6
1.96(1.43–2.69)
Observational data: associations, not effects.
Secondary outcomes
| Outcome | adjusted hazard ratio (95% CI) | |
|---|---|---|
| Repeat coronary revascularization — PMs=8 vs PMs=9 | 1.00 (0.82–1.21) | |
| Repeat coronary revascularization — PMs=7 vs PMs=9 | 0.89 (0.72–1.09) | |
| Repeat coronary revascularization — PMs≤6 vs PMs=9 | 0.91 (0.72–1.15) | |
| 0.512Adjusted hazard ratio (log scale) |
Most clinical outcomes (secondary)
- Inverse associations between adherence to performance measures and most clinical outcomes except repeat coronary revascularization
Original publication
Long-Term Clinical Outcomes With Defect-Free Care Adherent to the Performance Measures in Patients with STEMI Undergoing PCI in Japan. Circ Popul Health Outcomes. Published 10 April 2026. doi:10.1161/circoutcomes.125.013012
Summarised from the published abstract; every number is checked against it