State Health Department Issues Report on Angioplasty in New York State

Number of Procedures Has More than Doubled since 1994
Report Shows New Yorker's Undergoing Angioplasty More Than 99 Percent Likely to Survive

ALBANY, March 11, 2003 — The New York State Health Department today released its 1998-2000 Percutaneous Coronary Interventions (PCI or angioplasty) report showing statewide results from New York hospitals and physicians regarding angioplasty, a procedure used to clear blocked coronary arteries, which has a more than 99 percent survival rate.

State Health Commissioner Antonia C. Novello M.D., M.P.H., Dr.P.H., said, "This is the lowest death rate for PCI that we have seen since we began collecting data. The most recent report indicates that New York hospitals are providing the highest quality cardiac care for many more patients who need this procedure. We now have data from both the Coronary Artery Bypass Surgery report for ten years since 1990 and the PCI report for six years since 1994. This data enables hospitals to improve cardiac care and significantly lower mortality rates. "

According to the State's comprehensive angioplasty report, the risk-adjusted mortality rate for patients undergoing angioplasty was less than one percent in 2000, the latest year that data are available. The overwhelming success of this medically advanced procedure has resulted in a dramatic increase in the number of procedures being performed on patients, up from 18,558 in 1994 to 39,234 in 2000. During the three-year period, 1998 through 2000, 108,282 PCI procedures were performed in New York with a risk-adjusted mortality rate of 0.79 percent.

The report provides the risk-adjusted mortality rates for 36 hospitals approved to perform PCI or angioplasty in New York State during 2000. Mortality rates were also published for cardiologists who performed the procedure during the three-year period, from 1998 through 2000. PCI is a procedure sometimes recommended for patients with coronary artery disease to restore blood flow to coronary arteries that have become blocked by the build-up of plaque. Most patients are discharged within two or three days after undergoing the procedure.

Risk-adjusted mortality rates for individual hospitals, ranged from zero to 2.18 percent in 2000. The risk-adjusted death rates are calculated by taking into account each patient's unique health history, including more than 40 demographic and medical factors that may increase a patient's risk for complications during or immediately following the procedure.

The Department's annual Coronary Artery Bypass Surgery (CABG) report established the benefits of sharing performance data between hospitals and physicians. This approach was expanded to include PCI procedures being performed by hospitals statewide. The number of PCI's, which are also used to treat coronary artery disease, now exceeds the volume for CABG.

New York is the only state in the nation that issues a report for PCI procedures. Both reports reflect the Department's continued commitment to providing patients and their physicians with important health related information.

The report also evaluates outcomes for patients undergoing non-emergency angioplasty. This group of patients -- which excludes those who are in shock, have a very low blood pressure, or have had a heart attack within 24 hours -- are more medically stable. The statewide death rate for non-emergency patients in 2000 was less than one-half of one percent or 0.34 percent.

New York's comprehensive Percutaneous Coronary Interventions Reporting System represents the largest state-oriented collection of audited data on patient outcomes from angioplasty nationwide. Data collection and analyses are carried out under the guidance of the New York State Cardiac Advisory Committee, which comprises nationally prominent cardiologists, cardiac surgeons and other medical specialists. The American College of Cardiology collects similar data on angioplasty procedures from hospitals on a voluntary basis nationwide.

"New York is the only State in the nation that collects, reports and provides information on PCI to hospitals, physicians and the public. This has proven invaluable to both physicians and their patients when faced with making difficult health care decisions that could include angioplasty as a consideration," Dr. Novello said.

Copies of the Percutaneous Coronary Interventions Report and the Coronary Artery Bypass Surgery Report issued by the Department of Health are posted on the Health Department's Internet web site (www.nyhealth.gov) or may be obtained by writing to: Cardiac Reports, Box 2000, Albany, New York 12220.

3/11/03-20 OPA