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The relationship between procedural volume and patient outcomes for percutaneous coronary interventions: a systematic review and meta-analysis.
Health Information and Quality Authority (HIQA) Walsh, Kieran A Plunkett, Thomas O'Brien, Kirsty K Teljeur, Conor Smith, Susan M Harrington, Patricia Ryan, Máirín
Health Information and Quality Authority (HIQA)
Walsh, Kieran A
Plunkett, Thomas
O'Brien, Kirsty K
Teljeur, Conor
Smith, Susan M
Harrington, Patricia
Ryan, Máirín
Advisors
Editors
Other Contributors
Departments
Date
2021-01-28
Date Submitted
Keywords
PCI
STEMI
systematic review
health services research
HEART ATTACK
meta-analysis
myocardial infarction.
volume-outcome
STEMI
systematic review
health services research
HEART ATTACK
meta-analysis
myocardial infarction.
volume-outcome
Other Subjects
Subject Mesh
Planned Date
Start Date
Collaborators
Principal Investigators
Files
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hrbopenres-4-14352.pdf
Adobe PDF, 1.4 MB
Alternative Titles
Publisher
Abstract
Of 1,154 unique records retrieved, 22 observational studies with 6,432,265 patients were included. No significant association was found between total PCI hospital volume and mortality (odds ratio [OR]: 0.84, 95% confidence interval [CI]: 0.69-1.03, I 2 = 86%). A temporal trend from significant to non-significant pooled effect estimates was observed. The pooled effect estimate for mortality was found to be significantly in favour of high-volume operators for total PCI procedures (OR: 0.77, 95% CI: 0.63-0.94, I 2 = 93%), and for high-volume hospitals for primary PCI procedures (OR: 0.77, 95% CI: 0.62-0.94, I 2 = 78%). Overall, GRADE certainty of evidence was 'very low'. There were mixed findings for secondary outcomes.
Language
en
Citation
ISSN
eISSN
2515-4826
ISBN
DOI
10.12688/hrbopenres.13203.1
PMID
33842830