Does Public Reporting of PCI Outcomes Increase AMI Mortality?

Public reporting was associated with greater overall mortality, mostly in patients who did not undergo percutaneous coronary intervention.

Several states mandate public reporting of hospital outcomes after primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI). Although public reporting has improved outcomes in some studies, it might discourage treatment of the sickest patients. These researchers compared procedure utilization and outcomes in two states with public reporting (MA and NY) and six nearby states without reporting. Data were obtained from the Nationwide Inpatient Sample in 2005–2011.

Participants were 57,629 AMI patients in reporting states and 26,492 AMI patients in nonreporting states (ST-segment elevation myocardial infarction [STEMI], 30%; non-STEMI, 70%). Cardiac arrest and cardiogenic shock were significantly, but slightly, less…

Reviewing Author

Howard C. Herrmann, MD

Disclosures

Consultant/Advisory BoardAffluent Medical; Artedrone; Caranx; Johnson & Johnson; Medtronic; Prolifagen; Wells Fargo

EquityMicrointerventional Devices, Inc.

RoyaltiesUniversity of Pennsylvania

Grant/Research SupportAbbott Vascular; Edwards Lifesciences; Johnson & Johnson; Medtronic

Editorial BoardsCatheterization and Cardiovascular Interventions; Journal of the American College of Cardiology; Circulation: Cardiovascular Interventions; JACC Cardiovascular Interventions; JACC Case Reports; JSCAI

Leadership Positions in Professional SocietiesHeart Valve Collaboratory (Scientific Committee Member, Chair of the Publications Committee)