Cardiologia Croatica, Vol. 11 No. 3-4, 2016.
Original scientific paper
https://doi.org/10.15836/ccar2016.142
An Analysis of Cardiologic Interventional Procedures in Croatia between 2010 and 2014: Towards the Establishment of a National Registry.
Josip Lukenda
orcid.org/0000-0003-2740-1464
; University Hospital “Sveti Duh”, Zagreb, Croatia
Boris Starčević
; University Hospital Dubrava, Zagreb, Croatia
Diana Delić Brkljačić
; University Hospital Centre “Sestre milosrdnice”, Zagreb, Croatia
Zrinka Biloglav
; University of Zagreb, School of Medicine, Andrija Štampar School of Public Health, Zagreb, Croatia
Abstract
Although there has been progress in interventional cardiology in Croatia over the last two decades, there has been no analysis of interventional cardiologic procedures at the national level. The aim of this article was to analyze of the number of coronary angiographies (CA) and percutaneous coronary interventions (PCI) in the period from 2010 to 2014. Diagnostic and treatment procedures were analyzed based on the CA and PCI hospital claims of Croatian patients in 13 Croatian centers. The average rate of CA in the observed period was 4 390 per million population annually, with a growth of 8.5% over the observed period. The average rate of PCI was 2 208 with an increase of 15%. The PCI/CA ratio grew from 0.48 to 0.52. Of the 47 470 PCI procedures performed in Croatia between 2010 and 2014, 18.6% were performed in the Magdalena Special Hospital for Cardiovascular Surgery and Cardiology, 13.8% in the University Hospital Centre Zagreb, 11.9% in the University Hospital Centre Rijeka, and 11.3% in the University Hospital Dubrava, while other centers had shares below 10%. Based on PCI numbers, 7 Croatian centers (54%) can be classified as high volume centers, and 4 (30.7%) as medium volume centers. The Dubrovnik General Hospital since 2013 had a sufficient annual number of PCIs (>200), while the Karlovac General Hospital only performed CA. Results indicate that Croatian interventional cardiology has achieved a great success over the last two decades: in 2010, Croatia already had an above average rate of PCIs compared with the Organization for Economic Co-operation and Development and 21 countries of the European Union, as well as a larger annual growth (26.8%) than all analyzed countries except Romania. PCI rates were higher than most European countries except Germany, Belgium, Austria, and Norway. Further analysis of the success of interventional procedures and further development plans require the formation of a unified Croatian Registry of Cardiologic Procedures.
Keywords
coronary angiography; percutaneous coronary intervention; Croatia
Hrčak ID:
154069
URI
Publication date:
3.3.2016.
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