Evolution of the Percutaneous Coronary Intervention (PCI) and Coronary Artery Bypass Grafting (CABG) Indication and Mortality Rates in Spain from 2010 to 2019
Gasulla Ó. Sarría-Santamera A. Mazaira-Font F.A. García-Montero C. Fraile-Martinez O. Cantalapiedra D. Carrillo-Rodríguez M.F. Gómez-Valcárcel B. Ortega M.Á. Álvarez-Mon M. Asúnsolo A.
November 2024Multidisciplinary Digital Publishing Institute (MDPI)
Journal of Cardiovascular Development and Disease
2024#11Issue 11
Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are the main interventional treatments for coronary artery disease (CAD) patients. Both procedures are constantly being perfected and developed. This study aims to analyze the evolution of intervention mortality rates of PCI and CABG in recent years in Spain. We use a database of all hospital discharges from CABG and PCI procedures in Spain during two periods, between the years 2010 to 2012 and 2016 to 2019. We elaborate two multivariate regression logistic models to test the differences in mortality between the two periods and the two procedures, adjusting the mortality rates by age, gender, and comorbidities. We find strong evidence that CABG significantly reduced mortality rates, especially in complex patients, while PCI remained almost constant. We also discuss how physicians incorporate the improvement in procedures’ performance into the decision-making for the recommendation of these two procedures in CAD patient management.
artery disease , coronary intervention , mortality , Spain
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Hospital Universitari de Bellvitge, Universitat de Barcelona, L’Hospitalet de Llobregat, Barcelona, 08907, Spain
Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, University of Alcalá, Alcala de Henares, 28801, Spain
Department of Biomedical Sciences, Nazarbayev University School of Medicine, Astana, 010000, Kazakhstan
Departament d’Econometria, Estadística i Economia Aplicada, Universitat de Barcelona, Barcelona, 08907, Spain
Department of Medicine and Medical Specialities, Faculty of Medicine and Health Sciences, University of Alcalá, Alcala de Henares, 28801, Spain
Ramón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, 28034, Spain
Faculty of Medicine, Universidad Europea of Madrid, Madrid, 28670, Spain
Networking Research Center on for Liver and Digestive Diseases (CIBEREHD), Immune System Diseases-Rheumatology and Internal Medicine Service, University Hospital Prince of Asturias, Alcala de Henares, 28806, Spain
Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, University of New York, New York, 10027, NY, United States
Hospital Universitari de Bellvitge
Department of Surgery
Department of Biomedical Sciences
Departament d’Econometria
Department of Medicine and Medical Specialities
Ramón y Cajal Institute of Sanitary Research (IRYCIS)
Faculty of Medicine
Networking Research Center on for Liver and Digestive Diseases (CIBEREHD)
Department of Epidemiology and Biostatistics
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