Department of Internal Medicine III (Cardiology), Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria,
Wien Klin Wochenschr. 2013 Dec;125(23-24):736-49. doi: 10.1007/s00508-013-0459-3. Epub 2013 Dec 20.
Concerning international comparison for the year 2011, Austria is situated under the top nations with 6,383 diagnostic coronary angiographies (CA), 2,407 percutaneous coronary interventions (PCI), and 47 transarterial aortic valve implantations (TAVI) per 1 million inhabitants in Europe. Although the number of TAVI increases rapidly since its first introduction in 2007 (47 TAVI per 1 million inhabitants in 2011, not including surgical cases from the transapical route), the data for CA and PCI remained constant during the past years.The rates of stent (91%) and drug-eluting stent implantations (78% of stents) also remained constant on a high level. Little fluctuation is also reflected in the complication data (including mortality evaluation). An increased morality is well known, especially in patients with the so-called ST-segment elevation myocardial infarction and consecutive shock (19-35% in the past years).The application of certain special devices increased (clot catcher) or decreased (glycoprotein IIb/IIIa receptor antagonist) in 2011 or were finally unused (Laser).Interestingly, not only in Austria, it was observed several times that scientific knowledge, recommended as Class I Indications in the guidelines, takes several years to establish itself nationwide.Our independent, purely academic activity is located in the area of health services research, and has also the option to generate benchmarks for individual centers. Participation in our surveys is voluntary. Since 1992, every year, without interruption (no missing center!), 90-100 parameters are applicable. The questionnaire will be optimized and adapted to current conditions. This is done in cooperation with the participating centers. To provide comparability, we make only minimal and absolutely most necessary modifications.The data are collected and summarized at the end of the year by each center itself. During the year, the centers are visited to perform audits and to keep personal contact to them.The data for 2011 were presented in Linz (November 23, 2012) at the autumn meeting of the working group "Interventional Cardiology of the Austrian Society of Cardiology" (ÖKG), as a basis for discussion. The presentation can be viewed by using private access code to the ÖKG video presentation page ( http://oekg.medroom.at/ ); the publication will also be placed under the website http://iik.i-med.ac.at.
关于 2011 年的国际比较,奥地利在欧洲每 100 万居民中有 6383 例诊断性冠状动脉造影术(CA)、2407 例经皮冠状动脉介入治疗(PCI)和 47 例经动脉主动脉瓣植入术(TAVI),位居前列。尽管自 2007 年首次引入 TAVI 以来,其数量迅速增加(2011 年每 100 万居民中有 47 例 TAVI,不包括经心尖途径的手术病例),但过去几年 CA 和 PCI 的数据保持不变。支架(91%)和药物洗脱支架植入术(支架的 78%)的比例也保持在较高水平。并发症数据(包括死亡率评估)也反映出较小的波动。众所周知,死亡率增加,尤其是在所谓的 ST 段抬高型心肌梗死和并发休克的患者中(过去几年为 19-35%)。某些特殊器械的应用增加(栓子捕获器)或减少(糖蛋白 IIb/IIIa 受体拮抗剂),或在 2011 年最终未使用(激光)。有趣的是,不仅在奥地利,人们多次观察到,科学知识被推荐为指南中的 I 类适应证,需要数年时间才能在全国范围内得到确立。我们的独立、纯粹的学术活动位于卫生服务研究领域,并有选择地为各个中心生成基准。参与我们的调查是自愿的。自 1992 年以来,每年(无中心缺失!),应用 90-100 个参数,无一中断。问卷将根据当前情况进行优化和调整。这是与参与中心合作完成的。为了提供可比性,我们只进行最小和绝对必要的修改。每年年底,每个中心自行收集和汇总数据。在这一年中,中心会接受审计,并与他们保持个人联系。2011 年的数据于 2012 年 11 月 23 日在林茨(奥地利心脏病学会介入心脏病学工作组)秋季会议上公布,作为讨论的基础。可以使用 ÖKG 视频演示页面的私人访问代码(http://oekg.medroom.at/)查看演示;该出版物也将放置在网站 http://iik.i-med.ac.at 下。