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Date of download: 6/3/2016 Copyright © The American College of Cardiology. All rights reserved. From: Relationship Between Operator Volume and Adverse.

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Presentation on theme: "Date of download: 6/3/2016 Copyright © The American College of Cardiology. All rights reserved. From: Relationship Between Operator Volume and Adverse."— Presentation transcript:

1 Date of download: 6/3/2016 Copyright © The American College of Cardiology. All rights reserved. From: Relationship Between Operator Volume and Adverse Outcome in Contemporary Percutaneous Coronary Intervention Practice: An Analysis of a Quality-Controlled Multicenter Percutaneous Coronary Intervention Clinical Database J Am Coll Cardiol. 2005;46(4):625-632. doi:10.1016/j.jacc.2005.05.048 Adjusted odds ratios (OR) for major adverse cardiovascular events with generalized estimating equations clustering modeling. Variables included in the final model were: quintiles one to four, age, gender, history of congestive heart failure, history of prior coronary artery bypass grafting, history of extra-cardiac vascular disease, history of chronic obstructive pulmonary disease, emergency procedure, creatinine ≥1.5 mg/dl, left ventricular ejection fraction 70%), three-vessel disease (>70%), visible thrombus on the initial coronary angiogram, cardiac arrest, acute myocardial infarction (MI), MI within 7 days, cardiogenic shock, ventricular tachycardia or ventricular fibrillation in the setting of acute MI, and unstable angina. C statistic = 0.82. Hosmer-Lemeshow chi-square = 2.9, p = 0.94. CI = confidence interval. Figure Legend:

2 Date of download: 6/3/2016 Copyright © The American College of Cardiology. All rights reserved. From: Relationship Between Operator Volume and Adverse Outcome in Contemporary Percutaneous Coronary Intervention Practice: An Analysis of a Quality-Controlled Multicenter Percutaneous Coronary Intervention Clinical Database J Am Coll Cardiol. 2005;46(4):625-632. doi:10.1016/j.jacc.2005.05.048 Relationship between operator volume and patients' risk. Predicted and observed major adverse cardiovascular events (MACE) rates are stratified by quartile of risk, with further stratification by quintile of operator volume. Q = quintile (i.e., Q1, Q2, Q3, Q4, and Q5). Figure Legend:

3 Date of download: 6/3/2016 Copyright © The American College of Cardiology. All rights reserved. From: Relationship Between Operator Volume and Adverse Outcome in Contemporary Percutaneous Coronary Intervention Practice: An Analysis of a Quality-Controlled Multicenter Percutaneous Coronary Intervention Clinical Database J Am Coll Cardiol. 2005;46(4):625-632. doi:10.1016/j.jacc.2005.05.048 Linear plot of standardized major adverse cardiovascular events (MACE) ratios (observed/predicted rates) versus annual operator volume. Figure Legend:


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