Coronary disease & ACSCohort study
Primary Percutaneous Coronary Intervention in Patients With Spontaneous Coronary Artery Dissection vs Coronary Artery Disease
- Retrospective cohort study
- propensity-score adjusted
- national administrative database
Authors' conclusion
PPCI, when indicated in patients with STEMI and SCAD, has similar in-hospital mortality and 30-day readmission rates compared with PPCI for atherothrombotic STEMI.
Study context
- Population
- Patients with STEMI undergoing primary percutaneous coronary intervention (PPCI), Spanish National Health System administrative dataset, 2016–2020
- Participants
- 65,957 PPCI episodes
- Exposure
- PPCI in spontaneous coronary artery dissection (SCAD) vs PPCI in non-SCAD STEMI
- SCAD PPCIn = 315
- Non-SCAD PPCIn = 65,642reference
- Outcome
- In-hospital mortality and 30-day readmission
Main finding
As reported in the abstract
In-hospital mortality
Crude mortality
Risk-standardized mortality ratio
PS-adjusted mortality
Observational data: associations, not effects.
Further findings
30-day readmission
Crude
PS-adjusted
- 30-day readmission: Propensity score (PS)-adjusted: 297 pairs
30-day readmission
- Similar in both groups
Original publication
Primary Percutaneous Coronary Intervention in Patients With Spontaneous Coronary Artery Dissection vs Coronary Artery Disease. JACC Cardiovasc Interv. Published 14 August 2023. doi:10.1016/j.jcin.2023.05.044
Summarised from the published abstract; every number is checked against it