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Name
Percutaneous Coronary Intervention Rate
Short/Other Names

PCI Rate

Description

This indicator measures the age-standardized rate of percutaneous coronary interventions (PCIs) performed on patients in acute care hospitals, same-day surgery facilities or catheterization laboratories, per 100,000 population age 18 and older.

For further details, please see the General Methodology Notes.

Interpretation
Does not apply to this measure (i.e., there is no predefined preference for the measure score)
HSP Framework Dimension

Health System Inputs and Characteristics: Health system resources

Areas of Need

Not applicable

Geographic Coverage

All provinces/territories except Quebec

Reporting Level/Disaggregation

National, Province/Territory, Region

Indicator Results

http://www.cihi.ca/hirpt/?language=en

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<div role="button" class="expandableTitle" aria-controls="identifyingInfoRegion">Identifying Information</div>
Name
Percutaneous Coronary Intervention Rate
Short/Other Names

PCI Rate


<div role="button" class="expandableTitle" aria-controls="descAndCalRegion">Indicator Description and Calculation</div>
Description

This indicator measures the age-standardized rate of percutaneous coronary interventions (PCIs) performed on patients in acute care hospitals, same-day surgery facilities or catheterization laboratories, per 100,000 population age 18 and older.

For further details, please see the General Methodology Notes.

Calculation: Description

(Total number of discharges for PCI for patients age 18 and older ÷ total mid-year population age 18 and older) × 100,000 (age adjusted)

Unit of Analysis: Single admission

Calculation: Geographic Assignment

Place of residence

Calculation: Type of Measurement

Rate - Per 100,000

Calculation: Adjustment Applied

Age-adjusted

Calculation: Method of Adjustment

Direct Standardization
Standard Population:
Canada 2011

Denominator

Description:
Total mid-year population age 18 and older

Numerator

Description:
Total number of discharges for PCI for patients age 18 and older
Inclusions:
1. PCIs performed on patients in acute care hospitals or same-day surgery facilities

CCP: 48.02 or 48.03

CCI: 1.IJ.50^^, 1.IJ.57.GQ^^, 1.IJ.54.GQ-AZ (this code is used for 2006–2007 to 2008–2009 only)

2. Age at admission 18 and older

3. Sex recorded as male or female

4. Admission to an acute care institution or same-day surgery facility (Facility Type Code = 1 or A)
Exclusions:
1. Newborn, stillbirth or cadaveric donor records (Admission Category Code = N, R or S)

2. PCI can be performed in designated cardiac centres only; therefore, procedures reported by facilities without on-site PCI services were excluded from the indicator calculation.

3. Procedures coded as out of hospital or abandoned after onset (Intervention Status Attribute = A or OOH Indicator Flag = Y).


<div role="button" class="expandableTitle" aria-controls="backgroundRegion">Background, Interpretation and Benchmarks</div>
Rationale

In many cases, PCI serves as a non-surgical alternative to coronary artery bypass graft (CABG) surgery and is undertaken for the purpose of opening obstructed coronary arteries. While PCI encompasses several techniques, angioplasty is the procedure most frequently provided.

The choice of revascularization mode (PCI or CABG) depends on numerous factors, including physician preferences, availability of services and referral patterns, as well as differences in population health.

Interpretation

Does not apply to this measure (i.e., there is no predefined preference for the measure score)

HSP Framework Dimension

Health System Inputs and Characteristics: Health system resources

Areas of Need

Not applicable

Targets/Benchmarks

Not applicable

References

Cardiac Care Network of Ontario Consensus Panel on Target Setting. Final Report and Recommendations. 2004.

Faris, P. D. et al. "Diagnostic Cardiac Catheterization and Revascularization Rates for Coronary Heart Disease." Canadian Journal of Cardiology 20 (2004): pp. 391-397.

Institute for Clinical Evaluative Sciences. Cardiovascular Health and Services in Ontario. Toronto, Ont.: ICES, 1999.

King, S. B. 3rd et al. "2007 Focused Update of the ACC/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention: A Report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines." Journal of the American College of Cardiology 51 (2008): pp. 172-209.

Smith, S. C. Jr. et al. "A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1993 Guidelines for Percutaneous Transluminal Coronary Angioplasty)." Journal of the American College of Cardiology 37 (2001): pp. 2215-2239.


<div role="button" class="expandableTitle" aria-controls="availabilityRegion">Availability of Data Sources and Results</div>
Data Sources

DAD, NACRS

Available Data Years

Type of Year:
Fiscal
First Available Year:
2010
Last Available Year:
2016

Geographic Coverage

All provinces/territories except Quebec

Reporting Level/Disaggregation

National, Province/Territory, Region


<div role="button" class="expandableTitle" aria-controls="resultRegion">Result Updates</div>
Update Frequency

Every year

Indicator Results

Web Tool:
Health Indicators E-Publication
URL: http://www.cihi.ca/hirpt/?language=en

Updates

Not applicable


<div role="button" class="expandableTitle" aria-controls="qualityRegion">Quality Statement</div>
Caveats and Limitations

Rates for Quebec are not available due to differences in data collection.

Some residents in New Brunswick’s Zone 4 and Zone 5 receive cardiac procedures in Quebec under a referral agreement between the 2 provinces. Due to differences in data collection in Quebec, data for New Brunswick residents undergoing PCI in Quebec is not available; thus the rates for these 2 regions are suppressed.

Trending Issues

Not applicable

Comments

PCI can be performed in designated cardiac centres only; therefore, procedures reported by facilities without on-site PCI services were excluded from the indicator calculation.

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