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Trends in the likelihood of receiving percutaneous coronary intervention in a low-volume hospital and disparities by sociodemographic communities

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  • Christina Wang
  • Karla Lindquist
  • Harlan Krumholz
  • Renee Y Hsia

Abstract

Introduction: Over the past two decades, percutaneous coronary intervention (PCI) capacity has increased while coronary artery disease has decreased, potentially lowering per-hospital PCI volumes, which is associated with less favorable patient outcomes. Trends in the likelihood of receiving PCI in a low-volume center have not been well-documented, and it is unknown whether certain socioeconomic factors are associated with a greater risk of PCI in a low-volume facility. Our study aims to determine the likelihood of being treated in a low-volume PCI center over time and if this likelihood differs by sociodemographic factors. Methods: We conducted a retrospective cohort study of 374,066 hospitalized patients in California receiving PCI from January 1, 2010, to December 31, 2018. Our primary outcome was the likelihood of PCI discharges at a low-volume hospital (

Suggested Citation

  • Christina Wang & Karla Lindquist & Harlan Krumholz & Renee Y Hsia, 2023. "Trends in the likelihood of receiving percutaneous coronary intervention in a low-volume hospital and disparities by sociodemographic communities," PLOS ONE, Public Library of Science, vol. 18(1), pages 1-14, January.
    • Handle: RePEc:plo:pone00:0279905
    DOI: 10.1371/journal.pone.0279905
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    1. Philbin, E.F. & McCullough, P.A. & DiSalvo, T.G. & Dec, G.W. & Jenkins, P.L. & Weaver, W.D., 2001. "Underuse of invasive procedures among medicaid patients with acute myocardial infarction," American Journal of Public Health, American Public Health Association, vol. 91(7), pages 1082-1088.
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