title: Predictors of in-hospital adverse events after PCI for NSTEMI in the National Percutaneous Coronary Intervention (PCI) Registry.
abstract: OBJECTIVE
  Evaluate the in-hospital major adverse cardiovascular events (MACE) and clinical predictors of non-ST-T Mt that undergoing percutaneous coronary interventions (PCI) in Thailand.
  
  
  METHODS
  Thailand National PCI Registry enrolled 4156 patients that underwent PCI in Thailand between May 1 and October 31, 2006. Four hundred eighty three patients underwent PCI with indication of non-ST-T MI. Baseline demographic and angiographic characteristic were recorded. MACE included CV death, M, and stroke.
  
  
  RESULTS
  In-hospital MACE occurred in 27 patients (5.6%), included CV death in 15 patients (3.1%), MI in 14 patients (2.9%), and stroke in 2 patients (0.4%). In-hospital MACE were higher in patients with previous history of CABG (19.2% versus 4.8%, p = 0.01), cardiogenic shock at presentation (29.3% versus 3.4%, p<0.001), significant left main disease (19.4% versus 4.6%, p = 0.005), baseline ejection fraction <30% (25% versus 4.4%, p = 0.003), and used of intra-aortic balloon counter pulsation (IABP) during PCI (26.3% versus 3.8%, p<0.001). After multiple logistic regression analysis, prior history of CABG (OR = 6.1, 95% CI: 1.1-32.4, p = 0.03), baseline ejection fraction <30% (OR = 6.5, 95% CI: 1.7-24.4, p = 0.005), and used of lABP during PCI (OR = 4.7, 95% CI: 1.3-16.8, p = 0.01) are the strongest predictors of in-hospital MACE.
  
  
  CONCLUSIONS
  In the National Thai PCI Registry, patients with non-ST-T MI undergoing PCI had in-hospital major adverse events rate at 5.6%. Prior CABG, low EF <30%, unstable hemodynamic required used of lABP during PCI and procedure scheduled as an urgent or emergent were predictors of in-hospital MACE.
authors: Nattawut
authors: N
authors: Wongpraparut
authors: Pradit
authors: P
authors: Panchavinnin
authors: Damras
authors: D
authors: Tresukosol
authors: Chunhakasem
authors: C
authors: Chotinaiwattarakul
authors: Rewat
authors: R
authors: Phankingthongkum
authors: Wiwun
authors: W
authors: Tungsubutra
authors: Rungtiwa
authors: R
authors: Pongakasira
authors: Khemajira
authors: K
authors: Karaketklang
mesh_terms: D000368:Aged; D005260:Female; D006329:Heart Conduction System; D006761:Hospitals; D006801:Humans; D007902:Length of Stay; D008297:Male; D009203:Myocardial Infarction / Q000628:therapy*; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D012042:Registries; D013785:Thailand / Q000453:epidemiology; D016896:Treatment Outcome