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Title: Incidence, predictors and outcomes of major bleeding in patients following percutaneous coronary interventions in Australia
Austin Authors: Wlodarczyk, John;Ajani, Andrew E;Kemp, Dante;Andrianopoulos, Nick;Brennan, Angela L;Duffy, Stephen J;Clark, David J ;Reid, Christopher M
Affiliation: John Wlodarczyk Consulting Services, Newcastle, NSW, Australia
Monash University, Melbourne,Victoria, Australia
Monash Centre of Cardiovascular Research & Education in Therapeutics, Department of Epidemiology and Preventive Medicine, Melbourne, Victoria, Australia
Royal Melbourne Hospital, Parkville, Victoria, Australia
Alfred Hospital, Melbourne, Victoria, Australia
Austin Health, Heidelberg, Victoria, Australia
Issue Date: Feb-2016 2015-07-15
Publication information: Heart, Lung and Circulation 2016; 25(2): 107-117
Abstract: BACKGROUND: Major bleeding is a serious complication of percutaneous coronary intervention (PCI). We set out to investigate the incidence of major bleeding and its impact on hospitalisation and long-term mortality. METHOD: We examined seven years of registry data encompassing 16,860 PCI procedures. RESULTS: Between 2005 and 2011 major bleeding increased from 1.3% to 3.4%. In patients with ST elevated myocardial infarction (STEMI), the rate increased from 2.3% to 6.4%. The increase remained significant after adjusting for patient and procedural characteristics (OR=1.09/year, p=0.001). Bleeding risk was highest in patients presenting with out-of-hospital cardiac arrest and cardiogenic shock (CS). Women, STEMI patients, those aged over 70yrs or weighing <60kg were at higher risk. Glycoprotein IIb/IIIa-inhibitor use more than doubled the risk of bleeding (OR=2.28, p=<0.001). Mortality rates at one year were 4.18% overall and 7.9% in STEMI. Bleeding was a strong predictor of mortality after adjusting for potential confounders (HR=2.92, 95% CI: 2.08, 4.09). Bleeding significantly increased length of stay (med four days vs seven days) and rehospitalisation at 12 months (OR=1.36, 95% CI: 1.08, 1.70). CONCLUSIONS: Major bleeding rates post-PCI appear to be increasing in Australia. Bleeding increases hospitalisation and is associated with poor clinical outcomes.
DOI: 10.1016/j.hlc.2015.06.826
Journal: Heart, Lung and Circulation
PubMed URL:
Type: Journal Article
Subjects: Percutaneous coronary intervention
Appears in Collections:Journal articles

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