Participation in ACC’s Reduce the Risk: PCI Bleed Campaign was associated with a significant reduction of bleeding events following PCI, according to a study published in Circulation: Cardiovascular Interventions.

Using data from the ACC’s CathPCI Registry, Andrea L. Price, MS, RCIS, AACC, CPHQ, et al., included 8,757,737 PCI procedures between 2015 and 2021. Among the hospitals captured, 195 were campaign participants and 1,384 were not. The authors reviewed post PCI bleeding risk both before and after campaign participation.

Results revealed a statistically significant association between participation in the quality improvement campaign and lower odds of bleeding complications (adjusted odds ratio, 0.61; 95% CI, 0.53-0.71). Participating sites also had a greater decrease in bleeding events over the study period when compared to nonparticipating sites.

In addition, a subgroup analysis performed found reduction in bleeding in non–ST-segment–elevation acute coronary syndrome (ACS) and STEMI patients; however, no significant reduction was identified in patients without ACS.

“The PCI Bleeding Campaign was designed to provide participating hospitals evidence-based tools and resources to define and implement hospital-specific [bleeding avoidance strategy (BAS)],” state the authors. “Hospitals participating in this study were able to successfully adopt BAS for improved patient outcomes at their hospitals.”

Clinical Topics: Invasive Cardiovascular Angiography and Intervention

Keywords: National Cardiovascular Data Registries, CathPCI Registry, Percutaneous Coronary Intervention, Quality Improvement