Abstract
Purposes: The aims of this study were to investigate the procedure and growth of interventional cardiac revascularization—percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass graft(CABG)in Taiwan, and to prospect its impact on cardiac rehabilitation. Methods: This study was based in part on the data from the National Health Insurance Research Database. According to ICD-9CM codes of PTCA and CABG, the related data were extracted from the files of Inpatient Expenditures by Admissions and Registry for Contracted Medical Facilities (1996 to 2001).We compared PTCA with CABG for the frequency of procedure, medical costs, duration of hospitalization, and mortality rate at discharge by years. Results: Both PTCA and CABG procedures were increasing in Taiwan. The procedures of PTCA were 2.0 to 4.5 times of the CABG in these six years (from 1996 to 2001). The growth of PTCA was also more rapid than CABG (494% versus 159%).The short-term medical utilization of CABG including total medical fee and duration of hospitalization were more expensive and longer than those of PTCA. And the mortality rate after CABG were also larger at discharge(3.1~5.5% vs 0.6~0.9%).Although the increasing procedures, there were only a few proportion of post-PTCA subjects (about 0.9~16.8%)to attend inpatient rehabilitation program. Uneven distribution of the rehabilitation ultilization was also found over the regions of Taiwan. Conclusions: The change in the overall practice of coronary revascularization may be an appropriate response to the combination of overwhelming evidence of clinical benefit and rapid technological advance. The increasing numbers and short duration of hospitalization for PTCA procedure relative to CABG, the focus in cardiac physiotherapy and rehabilitation had better change on risk factor intervention and outpatient program. The issue of regional distribution in cardiac rehabilitation should be also concerned in the future.
Translated title of the contribution | The Growth of Interventional Cardiac Revasularization in Taiwan: Impact on Cardiac Rehabilitation |
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Original language | Chinese (Traditional) |
Pages (from-to) | 31-39 |
Number of pages | 9 |
Journal | 物理治療雜誌 |
Volume | 29 |
Issue number | 1 |
State | Published - 1 Feb 2004 |
Keywords
- Percutaneous Transluminal Coronary Angioplasty
- Coronary Ar-tery Bypass Graft
- Medical ultilization
- Cardiac rehabilitation