Should PCI Outcomes For Cardiac Arrest or Cardiogenic Shock be Publically Reported?

Public reporting of percutaneous coronary intervention (PCI) outcomes in patients with cardiac arrest or cardiogenic shock may be unfair to interventionalists and may lead to worse outcomes, according to a council perspective on behalf of ACC’s Interventional Council and ACC’s Board of Governors published March 7 in JACC: Cardiovascular Interventions. Syed Tanveer Rab, MD, FACC, member of ACC’s Interventional Section Leadership Council, and B. Hadley Wilson, MD, FACC, president of the ACC North Carolina Chapter, write that public reporting of death after PCI places blame on the hospital or interventionalists, but mortality is usually the result of neurological complications or multi-organ failure despite receiving optimal care. Additionally, they are concerned that public reporting and “pay for performance” may lead to risk-adverse behavior that may in turn lead to negative consequences for patients. Read more on