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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 895 - 903 (9page)
이용수
초록· 키워드
오류제보하기
Purpose: Evidence suggests that technological innovations and reimbursement schemes of the National Health Insurance Service may have impacted the managementof coronary artery disease. Thus, we investigated changes in the practice patternsof coronary revascularization. Materials and Methods: Revascularization and in-hospital mortality among Koreans ≥20 years old were identified from medical claims filed between 2006 and 2010. The age- and sex-standardized procedure rate per 100000 person-years was calculated directly from the distribution of the 2008 Koreanpopulation. Results: The coronary revascularization rate increased from 116.1 (95% confidence interval, 114.9‒117.2) in 2006 to 131.0 (129.9‒132.1) in 2010. Comparedto the rate ratios in 2006, the rate ratios for percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) surgery in 2010 were 1.16 (1.15‒1.17) and 0.80 (0.76‒0.84), respectively. Among patients who received PCI, the percentagewith drug-eluting stents increased from 89.1% in 2006 to 93.0% in 2010. In-hospitalmortality rates from PCI significantly increased during the study period (p=0.03), whereas those from CABG significantly decreased (p=0.01). The in-hospital mortalityrates for PCI and CABG were higher in elderly and female patients and at the lowest-volume hospitals. Conclusion: The annual volume of coronary revascularizationcontinuously increased between 2006 and 2010 in Korea, although this trend differed according to procedure type. A high percentage of drug-eluting stent proceduresand a high rate of in-hospital mortality at low-volume hospitals were noted.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Boden WE / 2007 / Optimal medical therapy with or without PCI for stable coronary disease / N Engl J Med 356 : 1503 ~ 1516
Daemen J / 2007 / Early and late coronary stent thrombosis of sirolimus-eluting and paclitaxel-eluting stents in routine clinical practice: data from a large two-institution
Douglas PS / 2009 / Clinical effectiveness of coronary stents in elderly persons: results from 262,700 Medicare patients in the American College of Cardiology-National Cardi
Epstein AJ / 2011 / Groeneveld PW. Coronary revascularization trends in the United States, 2001-2008 / JAMA 305 : 1769 ~ 1776
Feldman DN / 2006 / Comparison of outcomes of percutaneous coronary interventions in patients of three age groups (<60, 60 to 80, and >80 years) (from the New York Stat
Daemen J / 2007 / Early and late coronary stent thrombosis of sirolimus-eluting and paclitaxel-eluting stents in routine clinical practice: data from a large two-institution
Douglas PS / 2009 / Clinical effectiveness of coronary stents in elderly persons: results from 262,700 Medicare patients in the American College of Cardiology-National Cardi
Epstein AJ / 2011 / Groeneveld PW. Coronary revascularization trends in the United States, 2001-2008 / JAMA 305 : 1769 ~ 1776
Feldman DN / 2006 / Comparison of outcomes of percutaneous coronary interventions in patients of three age groups (<60, 60 to 80, and >80 years) (from the New York Stat
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