Correlation of clinical diagnosis and in-hospital outcomes of the out of site cardiac catheterization for Saraburi’s patients at Thammasat university Cardiac Center
Keywords:
Cardiac catheterization, Coronary artery disease (CAD)Abstract
Introduction: To evaluate the correlation of coronary artery disease (CAD), the proper diagnosis between pre and post cardiac catheterization, and the numbers of in-hospital outcomes of the Out of site Cardiac Catheterization for Saraburi’s patients at Thammasat university Cardiac Center (OCCSTCC)
Method: The data were collected from retrospective registry of all patients who attended the OCCSTCC between September 1, 2006 to August 31, 2011.
Result: 493 Saraburi’s patients were enrolled to the OCCSTCC. The mean age was 63.97 ± 10.51 years and 54.2% were males. Pre-cardiac catheterization diagnosis of clinically suspected CAD, clinically unsuspected CAD and elective percutaneous coronary intervention (PCI) was 76.06%, 15.01% and 8.92% respectively. Post-cardiac catheterization diagnosis showed significant CAD in 68.35% and non-obstructive coronary artery in 31.65%. The correlation of CAD diagnosis between pre and post cardiac catheterization had a moderate level of agreement (Kappa value was 0.487, p < 0.001). The sensitivity and specificity were 94.5% and 37.2% respectively. Overall, the procedural success rate was 98.38%, major adverse cardio-cerebrovascular event was 2.03% (mortality rate 0.4%, periprocedural myocardial infarction 1.42%, emergency coronary artery bypass graft surgery (CABG) 0.2%). No patient had periprocedural stroke or need for repeat PCI in the same admission. Of 113 patients were referred to cardiovascular thoracic surgeon for CABG and 37 patients received cardiac valvular surgery or atrial septal defect closure. 98.8% of patients discharged from Thammasat university cardiac center returned to follow up at Saraburi hospital.
Discussion and Conclusion: The correlation of CAD diagnosis between pre and post cardiac catheterization in the OCCSTCC was at a moderate level of agreement. The result of cardiac catheterization had high success rate and low in-hospital complications which was quite similar to the results from previous literatures.
Key words: Cardiac catheterization, Coronary artery disease (CAD)
