[The Danish Heart Registry--a clinical database].
BACKGROUND
The Danish Heart Registry (DHR) keeps track of all coronary angiographies (CATH), percutaneous coronary interventions (PCI), coronary artery bypass grafting (CABG), and adult heart valve surgery performed in Denmark. DHR is a clinical database established in order to follow the activity and quality of the procedures mentioned.


METHODS
Information concerning each procedure, age, gender, and co-morbidity of the patient was collected. Each patient was followed with respect to survival for 30 days by linkage to the central personal registry in Denmark. Mortality was estimated by the Kaplan-Meier method and comparisons of 30-day mortality between centres were carried out in Cox proportional hazard models.


RESULTS
The mortality within 30 days after PCI was 3.2% and closely related to the indication for PCI: ST-elevation myocardial infarction (STEMI) 6.8%; non-STEMI & unstable angina pectoris 1.9% and stable angina pectoris 0.5%. The 30-day mortality after PCI on the indication STEMI did not differ between the five centres, P=0.30. Mortality within 30 days after isolated CABG was 2.6% and was closely related to the EuroSCORE. The 30-day mortality after isolated CABG did not differ between the five centres, P=0.12.


CONCLUSIONS
The 30-day mortality was closely related to the indication for PCI and the EuroSCORE for patients undergoing CABG. There were no significant differences in 30-day mortality between centres after either primary PCI or isolated CABG.
Abildstrøm
Steen Zabell
SZ
Københavns Universitet, Statens Institut for Folkesundhed, Arhus Universitetshospital, Skejby. stabil@dadlnet.dk
Kruse
Marie
M
Rasmussen
Søren
S
Madsen
Jan Kyst
JK
Nielsen
Per Hostrup
PH
Madsen
Mette
M
D000328:Adult; D000368:Aged; D000787:Angina Pectoris / Q000401:mortality / Q000601:surgery; D015906:Angioplasty, Balloon, Coronary / Q000401:mortality / Q000592:standards; D006348:Cardiac Surgical Procedures / Q000401:mortality / Q000592:standards / Q000706:statistics & numerical data; D002983:Clinical Competence; D017023:Coronary Angiography / Q000401:mortality / Q000592:standards; D001026:Coronary Artery Bypass / Q000401:mortality / Q000592:standards; D003718:Denmark / Q000453:epidemiology; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000401:mortality / Q000592:standards; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality / Q000601:surgery; D011379:Prognosis; D011785:Quality Assurance, Health Care; D012042:Registries