Outcomes 2019 - Baylor Scott & White Heart and Vascular Hospital BSWHHVH_646_2019 Outcomes JOOMAG MOD | Page 55

2,283
1,671
(FY19)
(FY19)
Interventional cardiology
The regional reputation for the interventional
cardiologists on the medical staff of Baylor Scott
& White Heart and Vascular Hospital – Fort Worth
continued to grow in fiscal year 2019 as the
entire team treated a large volume of patients.
PCI continues to be the favored treatment
option for patients with simple and complex
ischemic cardiovascular disease. With advanced
equipment and a broad complement of stents
available, including the availability of the smallest
drug-eluting stent at 2 mm, interventional
cardiologists on the medical staff collaborate
closely with referring providers on the treatment
options available for their patients in need.
Diagnostic cardiac procedures
(FY18)
1,073
(FY19)
1,703
PCI procedures
(FY18)
541
(FY19)
636
Installed in 2018, the Corindus ® Vascular Robotics CorPath
System is the first and only FDA-cleared medical device to
bring robotic precision to coronary angioplasty procedures.
The Fort Worth cath lab was one of the first in the state of
Texas to use it.
Percutaneous
coronary
intervention* US 90th
percentile BSWHVH-
FW
In hospital risk;
standardized
bleeding (all
patients – rate) 1.72% 0.74%
Composite;
Proportion of
PCI patients
with death,
emergency CABG,
stroke or repeat
target vessel
revascularization 1.05% 0.17%
Composite:
Discharge
medications
in eligible PCI
patients – aspirin,
PSY12 inhibitor
and statins
at discharge
following PCI in
eligible patients 96.6% 99.4%
Proportion of PCI
procedures with
post-procedure
stroke 0.00% 0.00%
Proportion of PCI
procedures with
post-procedure MI 0.00% 0.00%
Emergency CABG
post-PCI 0.00% 0.00%
Percent total
with any adverse
events 7.3% 1.4%
Angiotensin
converting
enzymes (ACE)
inhibitors 44.9% 46.9%
ACE or ARB among
patients with EF
<40 78.7% 88.0%
Median post-
procedure length
of stay (in days) for
PCI patients with
STEMI 1.6 Less than
1 day
23.3% 29.7%
2.2 days <1 day
Same day
discharge after
elective PCI
PCI length of stay
Better,
same or
worse
Better
Total PCI cases –
Fort Worth
Same
Total cath cases –
Fort Worth
55
Better
Source: ICD Registry, NCDR, rolling four quarters ending Q4 2018.