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Access route selection for percutaneous coronary intervention among Vietnamese patients: Implications for in-hospital costs and outcomes

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Vu, HTT, Norman, R, Pham, NM, Pham, HM, Nguyen, HTT, Nguyen, QN, Do, LD, Huxley, RR, Lee, CMY, Hoang, TM and Reid, CM 2021 , 'Access route selection for percutaneous coronary intervention among Vietnamese patients: Implications for in-hospital costs and outcomes' , The Lancet Regional Health - Western Pacific, vol. 9 , pp. 1-7 , doi: 10.1016/j.lanwpc.2021.100116.

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Abstract

Background:Little is known about rates of access site (transradial (TRI) or transfemoral (TFI)) preference for percutaneous coronary intervention (PCI) and in-hospital costs of patients undergoing these procedures in lower-and middle-countries. Here, we report on access site use, in-hospital costs and outcomes of patients undergoing PCI in Vietnam.Methods:Information from 868 patients were included in the cohort of 1022 patients recruited into the first PCI registry in Vietnam. The total hospital costs and in-hospital outcomes of patients undergoing TRI and TFI were compared. Hospital costs were obtained from the hospital admission system, and major adverse cardiac events, major bleeding events and length of stay were identified through review of medical records.Findings:TRI was the dominant access site for interventionists (694/868 patients). The TFI group reported more lesions of the left main artery, more previous coronary artery bypass grafts and previous PCI in comparison with the TRI group (all p Interpretations:Among patients undergoing PCI, TRI was associated with lower costs and favourable clinical outcomes relative to TFI.

Item Type: Article
Authors/Creators:Vu, HTT and Norman, R and Pham, NM and Pham, HM and Nguyen, HTT and Nguyen, QN and Do, LD and Huxley, RR and Lee, CMY and Hoang, TM and Reid, CM
Keywords: percutaneous coronary intervention, hospital cost, outcomes, Vietnam
Journal or Publication Title: The Lancet Regional Health - Western Pacific
Publisher: The Lancet Publishing Group
ISSN: 2666-6065
DOI / ID Number: 10.1016/j.lanwpc.2021.100116
Copyright Information:

© 2021 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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