Percutaneous Coronary Intervention (PCI) Volume by Province and Centre

Methodology

Download CSV Expand/collapse all All accordions expanded

Identifying Information

Name

Percutaneous Coronary Intervention (PCI) Volume by Province and Centre

Short/Other Names

PCI Volume by Province and Centre

Description

Total number of percutaneous coronary intervention (PCI) procedures performed in a fiscal year.

For further details, please see the Cardiac Care Quality Indicators (CCQI) General Methodology Notes (PDF).

Background, Interpretation and Benchmarks

Rationale

Considering that about 2.4 million Canadians are living with heart disease and that Canada's population is increasingly at risk,¹ it's important to examine the quality of cardiac care in order to support improvements in care and ultimately in the health of Canadians.

PCI is a well-established procedure to treat coronary artery stenosis. Current evidence suggests that centres that perform fewer than 400 PCIs per year have a larger incidence of adverse events.² Based on this evidence, annual PCI volume has been identified as a key quality indicator for PCI care by the Canadian Cardiovascular Society.³

National measurement of and reporting on this indicator is important due to the continued establishment of new PCI centres.⁴

Interpretation

Volumes above 400 are desirable.

HSP Framework Dimension

��ϱ� system outputs: Appropriate and effective

Areas of Need

Getting Better

Targets/Benchmarks

Not applicable

Availability of Results

Available Data Years

2013 to 2020 (fiscal years)

Geographic Coverage

All provinces/territories except Quebec

Reporting Level/Disaggregation

National
Province/Territory
Facility

Result Updates

Indicator Results

Cardiac Care Quality Indicators Report

Update Frequency

There will be no further updates to this indicator.

Latest Results Update Date

July 2022

Updates

Not applicable. Please refer to the CCQI General Methodology Notes (PDF).

Indicator Calculation

Description

The total number is calculated by adding the total number of intervention codes for the province or facility in a fiscal year.

Unit of analysis: Intervention code

Type of Measurement

Number - Total number

Denominator

Description:

Total number of PCI procedures performed in a fiscal year

Inclusions:

PCI intervention codes (CCI code: 1.IJ.50.^{^^}, 1.IJ.57.GT, or 1.IJ.57.GU), where the intervention was not coded as out of hospital or abandoned (Out-of-Hospital Indicator not equal to Y and Intervention Status Attribute not equal to A)

Exclusions:

None

Numerator

Description:

Not applicable

Method of Adjustment

Not applicable

Adjustment Applied

None

Geographic Assignment

Place of service

Data Sources

DAD
NACRS

Quality Statement

Caveats and Limitations

There is no comprehensive capture of PCI data in Quebec, so Quebec cannot be included in analyses.

Comments

This measure belongs to a suite of Cardiac Care quality indicators (CCQI) that provided pan-Canadian comparable information on outcomes related to selected cardiac interventions. The goal was to support monitoring and quality improvement in cardiac care. Results for 2020–2021 are the last that will be published for this measure.

More information on the CCQI Report is available on our Cardiac Care web page.

References

Government of Canada. . Accessed February 22, 2019.
Harold JG, et al. . Circulation. July 2013.
Canadian Cardiovascular Society. . 2015.
Quraishi A, et al. . Canadian Journal of Cardiology. December 2016.