Rashid, M, Kinnaird, T, Ludman, P, Keeble, T, Mamas, MA and Curzen, N (2022) Variation in practice for out-of-hospital cardiac arrest treated with percutaneous coronary intervention in England and Wales. Catheterization and Cardiovascular Interventions, 100 (3). pp. 306-316. ISSN 1522-1946

[thumbnail of BCIS OHCA CCI non tracked.docx] Text
BCIS OHCA CCI non tracked.docx - Accepted Version
Restricted to Repository staff only until 29 June 2023.
Available under License Creative Commons Attribution Non-commercial.

Download (49kB)


We assessed the association between total center volume, operator volume, and out-of-hospital cardiac arrest (OHCA) percutaneous coronary intervention (PCI) volume.

Variations between OHCA PCI volume, hospital total PCI, and primary PCI volume are not well studied and are unlikely to be clinically justifiable.

Patients undergoing PCI for the acute coronary syndrome (ACS) between January 1, 2014, and March 31, 2019, in England and Wales were grouped as OHCA PCI and non-OHCA PCI. Spearman's correlation was used to determine the degree of correlation between each hospital PCI volume and OHCA PCI volume.

Out of 250,088 PCI procedures undertaken for ACS, 12,016 (4.8%) were performed for OHCA, and 238,072 (95.2%) were non-OHCA PCI procedures. The OHCA PCI group were younger [mean age (SD) 63.2 (12.3) and 65.6 (12.5, p < 0.001)], less likely to be female (20.2% vs. 26.9%, p < 0.001) or Black, Asian, and Minority Ethnicity (11.5% vs. 14.8%, p < 0.001) compared to the non-OHCA PCI group. Although there was a degree of correlation between total PCI and OHCA PCI, there was wide variation for both ACS cohort (Spearman correlation R2 = 0.50) and total PCI volume (Spearman correlation R2 = 0.60). Furthermore, the correlation between primary PCI volume and OHCA PCI within centers was weak (R2 = 0.10). Similarly, wide variations between operator PCI volume and OHCA PCI volume were observed.

These national data demonstrate wide variation in the practice of OHCA PCI both between centers and individuals. These variations are not expected according to clinical factors and require further investigation.

Item Type: Article
Additional Information: The final version of this accepted manuscript and all relevant information related to it, including copyrights, can be found on the publisher website.
Uncontrolled Keywords: mortality; out of hospital cardiac arrest; outcomes; percutaneous coronary intervention; predictors
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC666 Diseases of the circulatory (Cardiovascular) system
Depositing User: Symplectic
Date Deposited: 13 Jul 2022 14:52
Last Modified: 13 Oct 2022 11:56
URI: https://eprints.keele.ac.uk/id/eprint/11054

Actions (login required)

View Item
View Item