Outcomes 2019 - Baylor Scott & White Heart and Vascular Hospital BSWHHVH_646_2019 Outcomes JOOMAG MOD | Page 25

Percutaneous coronary intervention (PCI)
PCI continues to be the favored treatment option for patients with
simple and complex ischemic cardiovascular disease. Patients benefit
from the nationally recognized team of interventional cardiologists on
the medical staff of Baylor Scott & White Heart and Vascular Hospital –
Dallas that has deep experience in this procedure. In addition, patients
benefit from the continuous on-campus research through Baylor Scott
& White Heart and Vascular Institute.
PCI – Dallas Metrics US
Registry
Median BSWHVH
- Dallas Better, Same,
Worse than US
Registry Median
Total LOS – all patients 2.0 1.0 Better
Pre-procedure LOS 0.0 0.0 Same
1.0 1.0 Same
Same-day discharge as PCI procedure* 11.4% 28% Better
Same-day discharge as elective PCI
procedure* 24.3% 43.9% Better
US 90th Percentile BSWHVH
- Dallas Better, Same,
Worse than
90th percentile
1.14 1.01 Better
Diagnostic caths: Major bleed post
procedure 0.00% 0.00% Same
PCI post-procedure stroke 0.06% 0.00% Better
MACE: Composite – Proportion of
PCI patients with death, emergent
CABG or repeat target vessel
revascularization 1.08% 1.05% Better
Median time to immediate PCI for
STEMI patients (in minutes) 49 49 Same
Median time from ED arrival at STEMI
transferring facility to ED arrival
at STEMI receiving facility among
transferred patients (in minutes) 50 48 Better
Post-procedure LOS – all patients
(Dallas – FY19)
Total cardiac cath cases:
13,043
Diagnostic cardiac
procedures:
>4,500
Coronary interventions:
>1,670
Percentage of total
cardiac cath cases
transradial:
>27%
Total percutaneous
coronary intervention
(PCI) cases:
1,671
*Deceased/transfer/AMA pts excluded
PCI – Dallas Performance
PCI in-hospital risk-adjusted mortality
(all patients) – using NCDR risk
adjustment model
National Cardiovascular Database and Registry (NCNDR)
Baylor Scott & White Heart and Vascular Hospital – Dallas
Source: 2018 Q4 published information
YEAR IN REVIEW
Transradial cardiac catheterization is both a safe and effective
procedure to diagnose and treat blockages in the heart. Traditionally,
cardiac catheterization is performed using a puncture in the leg, but
studies have shown that going through the wrist, using the transradial
approach, produces the same results with a shorter hospital stay and
with less bleeding or discomfort for the patient. At Baylor Scott &
White Heart and Vascular Hospital – Dallas, the transradial approach
has been performed since 1996, and the number of procedures
continues to grow year-over-year.
1,654
FY18
FY19
Same-day discharge:
30.3%
PCI length of stay:
1 day
Transradial cardiac catheterization
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