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Trends in Percutaneous Coronary Interventions in New South Wales, Australia
Department of Cardiothoracic Surgery, Prince of Wales Hospital, Randwick, NSW, Australia
Faculty of Business and Economics, Macquarie University, North Ryde, NSW, Australia
* Author to whom correspondence should be addressed.
Received: 29 October 2008; Accepted: 8 January 2009 / Published: 12 January 2009
Abstract: This is the first detailed study on percutaneous coronary intervention (PCI) in New South Wales (NSW), Australia. Hospital data for PCIs carried out between 1 July 1990 and 30 June 2002 are analysed. The study explores trends in PCI rates by selected socio-demographic factors, the utilisation of angioplasties vis-a-vis stents, emergency admissions, and selected coexisting conditions which determine the disease status of PCI patients. Logistic regression models are used to study the medical conditions that require both PCI and coronary artery bypass graft (CABG). The PCI rate has grown rapidly at 12.1% per annum, with a particularly rapid increase for persons aged 75+. The rate of multiple stent utilisation increased at 4.6% per annum. Pacific-born and Middle-Eastern-born patients are more than twice as likely as the Australian-born to have diabetes. Factors affecting failure of PCI requiring CABG include perforation and multi-vessel disease. PCI services in public hospitals need to be increased to facilitate the availability of these procedures to all segments of the population, as do targeted community-level programmes to educate high-risk groups in the control of heart diseases.
Keywords: Percutaneous coronary intervention; coronary artery disease; Australia
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Weerasinghe, D.P.; Yusuf, F.; Parr, N.J. Trends in Percutaneous Coronary Interventions in New South Wales, Australia. Int. J. Environ. Res. Public Health 2009, 6, 232-245.
Weerasinghe DP, Yusuf F, Parr NJ. Trends in Percutaneous Coronary Interventions in New South Wales, Australia. International Journal of Environmental Research and Public Health. 2009; 6(1):232-245.
Weerasinghe, Daminda P.; Yusuf, Farhat; Parr, Nicholas J. 2009. "Trends in Percutaneous Coronary Interventions in New South Wales, Australia." Int. J. Environ. Res. Public Health 6, no. 1: 232-245.