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      • Poster Session : PS 0633 ; Respiratory Medicine ; COPD and Percutaneous Coronary Intervention

        ( Pavel Alexei Chisholm Sanchez ),( Javier De Miguel Diez ),( Diego Jose Castrillon Rodriguez ),( Rodrigo Jimenez Garcia ),( Valentin Hernandez Barrera ),( Pilar Carrasco Garrido ),( Ana Lopez De Andr 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1

        Background: To compare trends in the use and outcomes of PCI in patients COPD and non COPD patients in Spain from 2001 to 2011. Methods: We identifi ed all patients who had undergone PCI, using national hospital discharge data. Discharges were divided, according to history of COPD, in 2 groups: COPD and non COPD. The incidence of discharges attributed to percutaneous coronary intervention were calculated and stratifi ed by COPD status. We calculated comorbidity Charlson Comorbidity Index (CCI), length of stay (LOS) and in-hospital mortality (IHM). Results: From 2001 to 2011, 434,108 PCI´s were performed. The incidence of use of PCI increased over time in both groups (p<0.05), COPD and non COPD, from 4.94 per 100,000 inhabitants in 2001 to 11.76 in 2011 in COPD, and from 87.74 to 177.56 in non COPD. Comorbidity increased signifi cantly in both groups (p<0.05). The average LOS decreased signifi cantly over time, from 9 (IQR 10) days in 2001 to 6 (IQR 6) days in COPD patients, and from 6 (IQR 9) days in 2001 to 5 (IQR 6) days in patients without COPD. IHM changed signifi cantly over the entire study period among patients with COPD (from 2.65% in 2001 to 2.66% in 2011, p<0,05, x2 linear trend analysis) and non COPD (from 1.92% in 2001 to 1.85% in 2011, p<0,05, x2 linear trend analysis). Conclusions: The incidence of use of PCI procedures increased over time in COPD and non COPD patients. Increasing comorbidity can be associated with a higher use of PCI procedures. LOS and IHM were higher in patients with COPD than in those without this disease.

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