@article{CDT10478,
author = {Kipp Slicker and Wesley G. Lane and Ola O. Oyetayo and Laurel A. Copeland and Eileen M. Stock and Jeffrey B. Michel and John P. Erwin},
title = {Daily cardiac catheterization procedural volume and complications at an academic medical center},
journal = {Cardiovascular Diagnosis and Therapy},
volume = {6},
number = {5},
year = {2016},
keywords = {},
abstract = {Background: Over 1,000,000 cardiac catheterizations (CC) are performed annually in the United States. There is a small risk of complication that has persisted despite advances in technology. It is unknown whether daily CC procedural volume can influence this risk. In an effort to improve outcomes at our academic medical center, we investigated the relationship between daily CC volume and complication rates.
Methods: We obtained data from both the National Cardiovascular Data Registry (NCDR) Cath-PCI and Lumedx© databases reviewing the records of patients undergoing scheduled, non-emergent CC at our facility between January 2005 to June 2013. Daily CC volume was analyzed as were complications including death, post-procedure MI, cardiogenic shock, heart failure, stroke, tamponade, bleeding, hematoma and acute kidney injury (AKI).
Results: 12,773 patients were identified who underwent 16,612 CCs on 2,118 days. The average age was 63 years (SD 12.4; range, 18–95). 61% were men. A total of 326 complications occurred in 243 patients on 233 separate days (2.0% CC complication rate). The average volume per day was 7.8 CCs. We found a low correlation between daily complications and CC volume (Spearman’s rho =0.11; P11 procedures a day.},
issn = {2223-3660}, url = {https://cdt.amegroups.org/article/view/10478}
}