Open AccessAppropriateness of Percutaneous Coronary Interventions in Patients With Stable Coronary Artery Disease in US Department of Veterans Affairs Hospitals From 2013 to 2015
Author(s) -
Paul L. Hess,
Vinay Kini,
Wenhui Liu,
Paola Roldán,
Patrick Autruong,
Gary K. Grunwald,
Colin O’Donnell,
Jacob A. Doll,
P. Michael Ho,
Steven M. Bradley
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.3144
Subject(s) - veterans affairs , medicine , coronary artery disease , psychological intervention , percutaneous , cardiology , left main coronary artery disease , percutaneous coronary intervention , emergency department , emergency medicine , myocardial infarction , nursing
Key Points Question What is the rate of appropriateness of percutaneous coronary interventions (PCIs) in US Department of Veterans Affairs (VA) hospitals? Findings In this cohort study of 2611 patients with stable coronary artery disease undergoing elective PCI within the VA Clinical Assessment, Reporting, and Tracking Program, 29.8% of PCIs were classified as appropriate, 59.8% of PCIs were classified as may be appropriate, and 10.4% of PCIs were classified as rarely appropriate. There was variation in the estimated proportion of rarely appropriate PCIs across VA hospitals. Meaning These findings suggest that in contemporary VA practice, most PCIs are classified as appropriate or may be appropriate; however, given that 1 in 10 PCIs was classified as rarely appropriate, efforts to improve patient selection are needed.
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