Coronary disease & ACS

Operator volume is not associated with mortality following percutaneous coronary intervention: insights from the British Cardiovascular Intervention Society registry

Eur Heart JPublished Observational cohort study

Main finding · 30-day mortality by operator volumeResult — go to the resultOdds ratio 0.99 95% CI 0.93–1.05

Authors' conclusion

There is no evidence that mortality differs by operator volume in the UK.

Study context

Population
Percutaneous coronary intervention (PCI) procedures in the BCIS database, England and Wales, 2013–2014
Participants
133,970 procedures
Exposure
Operator volume and 30-day mortality
Outcome
Independently reported mortality
Follow-up
30 days
Methodological detailsnational registry, mixed effects multiple logistic regression
  • National registry
  • Mixed effects multiple logistic regression

Main finding

30-day mortality by operator volume

Odds ratio

0.99

95% CI 0.93–1.05

P = 0.725

Volume (per 100 procedures)
OR 0.99 (95% CI 0.93–1.05); P = 0.725

Per 100 procedures, as printed

As reported in the abstract

Overall 30-day mortality rate
2.6%

Observational data: associations, not effects.

Further findings

Sensitivity analyses: high-risk PCI subsets and in-hospital outcomes

Similar results

Original publication

Operator volume is not associated with mortality following percutaneous coronary intervention: insights from the British Cardiovascular Intervention Society registry. Eur Heart J. Published 22 March 2018. doi:10.1093/eurheartj/ehy125

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