[Cardiac interventions in Switzerland 1992. PTCA and Fibrinolysis Work Group of the Swiss Cardiology Association].
In 1992, 14,348 coronary angiographies were performed in Switzerland (2110 per 1 million population). This represents a 10% (+1332) increase over the previous year. About 50% were performed at university hospitals. Over the past 5 years, interventions for myocardial revascularization (coronary angioplasty [PTCA] and coronary artery bypass grafting [CABG] have increased constantly and nearly linearly. The increase from 1991 to 1992 was 8% (510) (PTCA: +18% [+469]; CABG: +1% [+41]). The PTCA/CABG ratio amounted to 0.9/1 for all Swiss hospitals. At university hospitals, angioplasty was performed more frequently than bypass grafting (PTCA/CABG 1.3/1) in contrast to the private hospitals (PTCA/CABG 0.4/1). More than a third of all revascularizations were performed in private hospitals. The increase in angioplasty is a consequence of an increase in coronary angiography and not of an increase in the percentage of multivessel PTCAs. This indicates that coronary artery disease is being diagnosed and treated more actively without necessarily adopting more aggressive PTCA indications. There was an obvious difference in morbidity and mortality rates, both after PTCA and CABG, between some private and public hospitals. The fact that public hospitals are obliged to accept high risk emergency cases is to their disadvantage. So is their more complete data collection, which reveals the actual incidence of complications more accurately.
Rouvinez
G
G
Innere Medizin, Kantonsspital Aarau.
Bertel
O
O
Urban
P
P
Meier
B
B
D015906:Angioplasty, Balloon, Coronary / Q000706:statistics & numerical data; D017115:Catheter Ablation / Q000706:statistics & numerical data; D017023:Coronary Angiography / Q000706:statistics & numerical data*; D001026:Coronary Artery Bypass / Q000706:statistics & numerical data; D006801:Humans; D009204:Myocardial Revascularization / Q000379:methods* / Q000706:statistics & numerical data; D010138:Pacemaker, Artificial / Q000706:statistics & numerical data; D013557:Switzerland / Q000453:epidemiology
Herzeingriffe in der Schweiz 1992. Arbeitsgruppe PTCA und Fibrinolyse der Schweizerischen Gesellschaft für Kardiologie.