Jennings S, Bennett K, Shelley E, Kearney P, Daly K, Fennell W
Department of Public Health, HSE, Dublin, Ireland.
Department of Pharmacology and Therapeutics, St James Hospital, Dublin, Ireland.
Int J Cardiol Heart Vessel. 2014 Aug 12;4:35-39. doi: 10.1016/j.ijchv.2014.08.001. eCollection 2014 Sep.
BACKGROUND/OBJECTIVES: To study temporal trends in crude and age standardised rates of cardiac catheterisation and percutaneous coronary intervention (PCI) in Ireland, 2004-2011.
Two data sources were used: a) a survey of publicly and privately funded hospitals with cardiac catheter laboratories to obtain the annual number of procedures performed and b) anonymised data from the Hospital In-Patient Enquiry (HIPE) for angiography and PCI in acute publicly funded hospitals; age standardised rates were calculated to study trends over time.
From 2004 to 2011 the crude rate of angiography and PCI increased by 47.8% and 35.9% respectively, with rates of 6689 and 1825 per million population in 2011. Following age standardisation, however, PCI activity showed a non-significant decrease over time. The PCI to angiography ratio decreased from 30% to 27% and PCI was performed predominantly for stable coronary heart disease (54%) in 2011.
Angiography and PCI rates have increased in Ireland but PCI crude and age adjusted rates show divergent trends. While Ireland differs from USA and UK, with a higher proportion of PCI being performed for stable CHD in recent years, little systematic surveillance of cardiological interventions within Europe is available to benchmark improvements in Ireland.
背景/目的：研究2004 - 2011年爱尔兰心脏导管插入术和经皮冠状动脉介入治疗（PCI）的粗率及年龄标准化率的时间趋势。
使用了两个数据源：a）对设有心脏导管实验室的公立和私立医院进行调查，以获取每年进行的手术数量；b）来自医院住院病人查询系统（HIPE）的急性公立医院血管造影和PCI的匿名数据；计算年龄标准化率以研究随时间的趋势。
从2004年到2011年，血管造影和PCI的粗率分别上升了47.8%和35.9%，2011年每百万人口的发生率分别为6689和1825。然而，经过年龄标准化后，PCI活动随时间呈现出不显著的下降。PCI与血管造影的比例从30%降至27%，2011年PCI主要用于稳定型冠心病（54%）。
爱尔兰的血管造影和PCI率有所上升，但PCI的粗率和年龄调整率呈现出不同的趋势。虽然爱尔兰与美国和英国不同，近年来因稳定型冠心病进行PCI的比例较高，但欧洲对心脏介入治疗的系统监测很少，无法为爱尔兰的改善情况提供基准。
