FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2417892059> ?p ?o ?g. }

• W2417892059 abstract "Background Over the last decade trans-radial access (TRA) has become more common than trans-femoral access (TFA) for Percutaneous Coronary Intervention (PCI) in the UK. Despite studies highlighting the benefits of this transition, there are concerns that the resulting drop in TFA activity has led to operators and centres losing TFA proficiency, compromising the safety and efficacy of procedures where TFA is necessary. Aims To evaluate the impact of each centre’s recent experience of the TFA approach on procedural outcomes in TFA-only procedures. Methods This retrospective cohort study used procedures recorded in the British Cardiovascular Intervention Society (BCIS) PCI audit from 2007 to 2013 in England and Wales. Centres were split into one of three groups depending on the proportion of total procedures undertaken via TFA in 2013, with patient and procedural characteristics for TFA-only procedures observed within these groups over time. By considering each centre’s access site choices in the 12 months prior to procedure date, simply-derived measures were used to capture the ‘recent TFA experience’ of the operating centre for each procedure. The association of these measures on 30-day mortality, after risk-adjustment, were then studied using multiple logistic regression. Results A total of 235,474 procedures were available for analysis. Unadjusted TFA-only mortality in centres who were early-adopters of TRA increased more rapidly than for centres who maintained high TFA activity, and this was driven by higher baseline risk. After case-mix adjustment, recent TFA experience was found to have no effect on 30-day mortality (OR=0.99 per 0.1 increase in recent TFA proportion; CI=0.96 to 1.01; p = 0.220), with similar results when restricting to procedures with low clinical-complexity (OR=0.98 per 0.1 increase in recent femoral proportion; CI=0.95 to 1.01; p = 0.245). Conclusions Poorer TFA outcomes for predominantly high TRA centres are driven by the propensity of these centres to utilise TFA in the highest risk patients. Once differences in case mix are adjusted for, TFA outcomes are similar between high and low radial proportion centres, with no evidence to suggest that increasing unfamiliarity with the TFA technique is detrimental. The outcome gains achieved by the national adoption of TRA is not attenuated by a loss of TFA proficiency, and centres should be encouraged to continue to adopt TRA as the default access site for PCI wherever possible." @default.
• W2417892059 created "2016-06-24" @default.
• W2417892059 creator A5044012099 @default.
• W2417892059 creator A5051773658 @default.
• W2417892059 creator A5055713311 @default.
• W2417892059 creator A5057258772 @default.
• W2417892059 creator A5057514332 @default.
• W2417892059 creator A5069993330 @default.
• W2417892059 creator A5077375809 @default.
• W2417892059 date "2016-06-01" @default.
• W2417892059 modified "2023-09-23" @default.
• W2417892059 title "34 Do Centres that Usually Perform Percutaneous Coronary Intervention Trans-Radially have Inferior Outcomes when Operating Trans-Femorally?" @default.
• W2417892059 doi "https://doi.org/10.1136/heartjnl-2016-309890.34" @default.
• W2417892059 hasPublicationYear "2016" @default.
• W2417892059 type Work @default.
• W2417892059 sameAs 2417892059 @default.
• W2417892059 citedByCount "0" @default.
• W2417892059 crossrefType "journal-article" @default.
• W2417892059 hasAuthorship W2417892059A5044012099 @default.
• W2417892059 hasAuthorship W2417892059A5051773658 @default.
• W2417892059 hasAuthorship W2417892059A5055713311 @default.
• W2417892059 hasAuthorship W2417892059A5057258772 @default.
• W2417892059 hasAuthorship W2417892059A5057514332 @default.
• W2417892059 hasAuthorship W2417892059A5069993330 @default.
• W2417892059 hasAuthorship W2417892059A5077375809 @default.
• W2417892059 hasBestOaLocation W24178920591 @default.
• W2417892059 hasConcept C126322002 @default.
• W2417892059 hasConcept C141071460 @default.
• W2417892059 hasConcept C151956035 @default.
• W2417892059 hasConcept C159110408 @default.
• W2417892059 hasConcept C162324750 @default.
• W2417892059 hasConcept C167135981 @default.
• W2417892059 hasConcept C187736073 @default.
• W2417892059 hasConcept C194828623 @default.
• W2417892059 hasConcept C199521495 @default.
• W2417892059 hasConcept C2780400711 @default.
• W2417892059 hasConcept C2780665704 @default.
• W2417892059 hasConcept C45393284 @default.
• W2417892059 hasConcept C500558357 @default.
• W2417892059 hasConcept C71924100 @default.
• W2417892059 hasConcept C72563966 @default.
• W2417892059 hasConcept C88579808 @default.
• W2417892059 hasConceptScore W2417892059C126322002 @default.
• W2417892059 hasConceptScore W2417892059C141071460 @default.
• W2417892059 hasConceptScore W2417892059C151956035 @default.
• W2417892059 hasConceptScore W2417892059C159110408 @default.
• W2417892059 hasConceptScore W2417892059C162324750 @default.
• W2417892059 hasConceptScore W2417892059C167135981 @default.
• W2417892059 hasConceptScore W2417892059C187736073 @default.
• W2417892059 hasConceptScore W2417892059C194828623 @default.
• W2417892059 hasConceptScore W2417892059C199521495 @default.
• W2417892059 hasConceptScore W2417892059C2780400711 @default.
• W2417892059 hasConceptScore W2417892059C2780665704 @default.
• W2417892059 hasConceptScore W2417892059C45393284 @default.
• W2417892059 hasConceptScore W2417892059C500558357 @default.
• W2417892059 hasConceptScore W2417892059C71924100 @default.
• W2417892059 hasConceptScore W2417892059C72563966 @default.
• W2417892059 hasConceptScore W2417892059C88579808 @default.
• W2417892059 hasLocation W24178920591 @default.
• W2417892059 hasOpenAccess W2417892059 @default.
• W2417892059 hasPrimaryLocation W24178920591 @default.
• W2417892059 hasRelatedWork W2299309250 @default.
• W2417892059 hasRelatedWork W2893344294 @default.
• W2417892059 hasRelatedWork W2911193898 @default.
• W2417892059 hasRelatedWork W1782929049 @default.
• W2417892059 hasRelatedWork W2980569428 @default.
• W2417892059 isParatext "false" @default.
• W2417892059 isRetracted "false" @default.
• W2417892059 magId "2417892059" @default.
• W2417892059 workType "article" @default.