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Trends in Percutaneous Coronary Interventions in New South Wales, Australia

Author

Listed:
  • Daminda P. Weerasinghe

    (Department of Cardiothoracic Surgery, Prince of Wales Hospital, Randwick, NSW, Australia)

  • Farhat Yusuf

    (Faculty of Business and Economics, Macquarie University, North Ryde, NSW, Australia)

  • Nicholas J. Parr

    (Faculty of Business and Economics, Macquarie University, North Ryde, NSW, Australia)

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.

Suggested Citation

  • Daminda P. Weerasinghe & Farhat Yusuf & Nicholas J. Parr, 2009. "Trends in Percutaneous Coronary Interventions in New South Wales, Australia," IJERPH, MDPI, vol. 6(1), pages 1-14, January.
    • Handle: RePEc:gam:jijerp:v:6:y:2009:i:1:p:232-245:d:3843
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    References listed on IDEAS

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    1. Pierre Moïse & Stephane Jacobzone, 2003. "OECD Study of Cross-National Differences in the Treatment, Costs and Outcomes of Ischaemic Heart Disease," OECD Health Working Papers 3, OECD Publishing.
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