PMID- 28213569
OWN - NLM
STAT- MEDLINE
DCOM- 20180222
LR  - 20181202
IS  - 2047-9980 (Electronic)
IS  - 2047-9980 (Linking)
VI  - 6
IP  - 2
DP  - 2017 Feb 17
TI  - Trends in Coronary Revascularization and Ischemic Heart Disease-Related Mortality 
      in Israel.
LID - 10.1161/JAHA.116.004734 [doi]
LID - e004734
AB  - BACKGROUND: We investigated national trends in volume and outcomes of 
      percutaneous coronary angioplasty (PCI), coronary artery bypass grafting (CABG), 
      and ischemic heart disease-related mortality in Israel. METHODS AND RESULTS: 
      Using International Classification of Diseases 9th and 10th revision codes, we 
      linked 5 Israeli national databases, including the Israel Center for Disease 
      Control National PCI and CABG Registries, the Ministry of Health Hospitalization 
      Report, the Center of Bureau of Statistics, and the Ministry of Interior 
      Mortality Report, to assess the annual PCI and CABG volume, procedural mortality, 
      comorbidities, and ischemic heart disease-related mortality between 2002 and 
      2014. Trends over time were analyzed using linear regression, assuming a Poisson 
      distribution. A total of 298 390 revascularization procedures (PCI: 255 724, 
      CABG: 42 666) were performed during the study period. PCI volume increased by 9% 
      from 2002 to 2008 (387.4/100 000 to 423.2/100 000), steadily decreasing by 10.5% 
      to 378.5/100 000 in 2014 (P=0.70 for the trend). CABG volume decreased by 59% 
      (109.0/100 000 to 45.2/100 000) from 2002 to 2013, leveling at 46.4/100 000 
      (P<0.0001). PCI/CABG ratio increased from 3.6 in 2002 to 8.5 in 2013, slightly 
      decreasing to 8.2 by 2014 (P<0.0001). In-hospital procedural mortality remained 
      stable (PCI: 1.2-1.6%, P=0.34, CABG: 3.7-4.4%, P=0.29) despite a significant 
      change in patient clinical profile. During the course of the study, ischemic 
      heart disease-related mortality decreased by 46% (84.6-46/100 000, P<0.001). 
      CONCLUSIONS: We observed a dramatic change in coronary revascularization 
      procedures type and volume, and a marked decrease in ischemic heart 
      disease-related mortality in Israel. The reasons for the observed changes remain 
      unclear and need to be further investigated.
CI  - (c) 2017 The Authors. Published on behalf of the American Heart Association, Inc., 
      by Wiley Blackwell.
FAU - Blumenfeld, Orit
AU  - Blumenfeld O
AD  - Israel Centers for Disease Control, Ministry of Health, Ramat Gan, Israel 
      orit.blumenfeld@moh.health.gov.il.
FAU - Na'amnih, Wasef
AU  - Na'amnih W
AD  - Israel Centers for Disease Control, Ministry of Health, Ramat Gan, Israel.
FAU - Shapira-Daniels, Ayelet
AU  - Shapira-Daniels A
AD  - Department of Cardiothoracic Surgery, Hadassah Hebrew University Medical Center, 
      Jerusalem, Israel.
FAU - Lotan, Chaim
AU  - Lotan C
AD  - Department of Cardiology, Hadassah Hebrew University Medical Center, Jerusalem, 
      Israel.
FAU - Shohat, Tamy
AU  - Shohat T
AD  - Israel Centers for Disease Control, Ministry of Health, Ramat Gan, Israel.
AD  - Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
FAU - Shapira, Oz M
AU  - Shapira OM
AD  - Department of Cardiothoracic Surgery, Hadassah Hebrew University Medical Center, 
      Jerusalem, Israel.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20170217
PL  - England
TA  - J Am Heart Assoc
JT  - Journal of the American Heart Association
JID - 101580524
SB  - IM
MH  - Female
MH  - Hospital Mortality/trends
MH  - Humans
MH  - Israel/epidemiology
MH  - Male
MH  - Myocardial Ischemia/mortality/*surgery
MH  - Myocardial Revascularization/*statistics & numerical data
MH  - *Registries
MH  - Retrospective Studies
MH  - Treatment Outcome
PMC - PMC5523769
OTO - NOTNLM
OT  - coronary disease
OT  - population
OT  - revascularization
OT  - survival
EDAT- 2017/02/19 06:00
MHDA- 2018/02/23 06:00
PMCR- 2017/02/01
CRDT- 2017/02/19 06:00
PHST- 2017/02/19 06:00 [entrez]
PHST- 2017/02/19 06:00 [pubmed]
PHST- 2018/02/23 06:00 [medline]
PHST- 2017/02/01 00:00 [pmc-release]
AID - JAHA.116.004734 [pii]
AID - JAH31958 [pii]
AID - 10.1161/JAHA.116.004734 [doi]
PST - epublish
SO  - J Am Heart Assoc. 2017 Feb 17;6(2):e004734. doi: 10.1161/JAHA.116.004734.