Psoriasis is an independent predictor of increased risk of allergic reaction during percutaneous coronary interventions. Big data analysis from the Polish National PCI Registry (ORPKI)

Siudak, Zbigniew; Wysocka-Dubielecka, Kalina; Malinowski, Krzysztof Piotr; Dziewierz, Artur; Tokarek, Tomasz; Plens, Krzysztof; Dudek, Dariusz

doi:10.5603/cj.a2018.0076

Cited by 4 publications

(3 citation statements)

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“…New evidence shows that the risk of perioperative death depends also on a history of psoriasis in patients with STEMI; however, these observations are ambiguous. Siudak et al [27] carried out a large study in 405 078 patients who underwent coronary angiography due to acute coronary syndrome. Psoriasis was diagnosed in 1507 (0.4%) patients.…”

Section: Discussionmentioning

confidence: 99%

Risk of perioperative death and sudden cardiac arrest: A study of 113 456 cases from the National Registry of Invasive Cardiology Procedures (ORPKI) for estimation of the perioperative prognosis

2021

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Background: Despite optimizing treatment of ST-segment elevation myocardial infarction (STEMI), a number of patients die during the invasive procedure or experience sudden cardiac arrest (SCA) that complicates further hospitalization.Aims: This study aimed to identify the most important risk factors leading to SCA and death in the cath lab among STEMI patients. Methods:We used data from the National Registry of Invasive Cardiology Procedures (ORPKI) collected between 2014 and 2019. The study population consisted of 113 465 patients. Descriptive statistics, univariate and multiple logistic regression analysis of factors affecting perioperative mortality (PM) and SCA in the cath lab were performed.Results: Death and SCA occurred in 1549 (1.4%) and 945 (0.8%) patients, respectively. Diabetes (odds ratio [OR], 1.76; P <0.0001), previous brain stroke (OR, 2.26; P <0.0001), prior myocardial infarction (OR, 1.81; P <0.0001), psoriasis (OR, 1.79; P = 0.04), and chronic renal failure (OR, 2.79; P <0.0001) were the strongest predictors of PM. The occurrence of SCA was dependent mainly on diabetes (OR, 1.37; P = 0.0001), previous brain stroke (OR, 2.23; P <0.0001), prior myocardial infarction (OR, 1.73; P <0.0001), psoriasis (OR, 2.03; P = 0.04), and chronic renal failure (OR, 2.79; P <0.0001). Of the pre-hospital factors, the Killip-Kimball class showed the strongest relationship with the two endpoints (OR 3.53; P <0.0001 and OR 2.65; P <0.0001, respectively).Conclusions: Diabetes, previous brain stroke, myocardial infarction, psoriasis, chronic renal failure, and the Killip-Kimball class were the strongest predictors of PM and SCA in the cath lab among STEMI patients.

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Section: Discussionmentioning

confidence: 99%

Risk of perioperative death and sudden cardiac arrest: A study of 113 456 cases from the National Registry of Invasive Cardiology Procedures (ORPKI) for estimation of the perioperative prognosis

2021

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“…Moreover, in the presence of psoriasis as a comorbid condition, patients are generally characterized by chronic inflammation and have a higher cardiovascular risk than in the general population. It is correlated with the deterioration of COVID-19 prognosis after acute coronary syndrome [ 48 ]. In our study ( n = 118,601), there was such a relationship among men…”

Section: Discussionmentioning

confidence: 99%

The Effect of Periprocedural Clinical Factors Related to the Course of STEMI in Men and Women Based on the National Registry of Invasive Cardiology Procedures (ORPKI) between 2014 and 2019

Sielski

Kaziród-Wolski

Jurys³

et al. 2021

JCM

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Background: There are several sex-related differences in the course, management, and outcomes of ST-elevation myocardial infarction (STEMI). This study aimed to identify the risk factors that may affect the odds of procedure-related death in patients with STEMI. Methods: The observational cohort study group consisted of 118,601 participants recruited from the National Registry of Invasive Cardiology Procedures (ORPKI). Results: Procedure-related death occurred in 802 (1.0%) men and in 663 (1.7%) women. The odds of procedure-related death among women were significantly higher than among men (OR, 1.76; 95% CI, 1.59–1.95; p < 0.001). The probability of procedure-related mortality was highest in both men and women with cardiac arrest in the cath lab, critical stenosis of the left main coronary artery, and direct transfer to the cath lab. The factors that reduced the probability of procedure-related mortality in both men and women were thrombolysis in myocardial infarction (TIMI) flow grade and the use of P2Y12 inhibitors in the peri-infarct period. Psoriasis was associated with increased odds of procedure-related death among men, whereas cigarette smoking reduced the odds among women. Conclusions: Procedure-related deaths occurred more frequently in women than men with STEMI. Additional scrutiny needs to be undertaken to identify factors influencing survival regarding gender differences.

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“…In recent years, database-based studies have become popular due to the increase in the size of studies and the number of items to be investigated. Database-based studies are also increasing in the investigation of risk factors for disease [25,26,27,28]. Studies using databases to study breast cancer include studies on treatment selection for breast cancer and epidemiological studies of male breast cancer [29,30], but no studies have used databases to identify risk factors for BCRL.…”

Section: Introductionmentioning

confidence: 99%

Database study of risk factors for breast cancer-related lymphedema: statistical analysis of 2359 cases in 10 years

Matsumoto

Ushio

Kimura

et al. 2023

Preprint

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Background Identification of risk factors is important for the prevention of Breast Cancer-Related Lymphedema (BCRL), and epidemiological large-scale studies are needed. Although database studies are suitable for large-scale surveys, there have been no studies using databases to investigate risk factors for BCRL. The purpose of this study was to test the hypothesis that database-based studies are useful in identifying risk factors for BCRL. Methods Patients diagnosed with breast cancer during a 10-year period from April 2009 to March 2020 were selected from the medical database of Hiroshima University Hospital. As a retrospective observational study, risk factors for BCRL were validated by logistic regression analysis (p < 0.05). Results A total of 4471 breast cancer patients were selected and 2359 met study criteria; the incidence of BCRL was 4.8%. Risk factors for BCRL ultimately identified by multivariate logistic regression analysis were obesity with BMI 25 to 30 (OR = 3.066, 95%CI: 1.408 ~ 6.677), severe obesity with BMI > 30 (OR = 5.791, 95%CI: 2.239 ~ 14.97), surgical axillary lymph node dissection (OR = 3.212, 95%CI: 1 .918 ~ 5.378), chemotherapy with docetaxel (OR = 1.795, 95%CI: 1.062 ~ 3.032), and conventional radiation to the breast or chest wall with lymph nodes in the irradiated area (OR = 3.299, 95%CI: 1.842 ~ 5.910). Conclusions The risk factors for BCRL identified in this study were generally similar to those in previous studies, indicating that database-based studies are useful for identifying risk factors for BCRL. A multicenter study involving a larger number of patients and study items needs to be conducted in order to more fully elucidate the risk factors for BCRL.

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Psoriasis is an independent predictor of increased risk of allergic reaction during percutaneous coronary interventions. Big data analysis from the Polish National PCI Registry (ORPKI)

Abstract: Severe or moderate psoriasis is an independent risk factor for the occurrence of allergic reaction during percutaneous coronary procedures. There were no differences in periprocedural mortality and complications in patients with versus those without psoriasis.

Cited by 4 publications

References 32 publications

Risk of perioperative death and sudden cardiac arrest: A study of 113 456 cases from the National Registry of Invasive Cardiology Procedures (ORPKI) for estimation of the perioperative prognosis

Risk of perioperative death and sudden cardiac arrest: A study of 113 456 cases from the National Registry of Invasive Cardiology Procedures (ORPKI) for estimation of the perioperative prognosis

The Effect of Periprocedural Clinical Factors Related to the Course of STEMI in Men and Women Based on the National Registry of Invasive Cardiology Procedures (ORPKI) between 2014 and 2019

Database study of risk factors for breast cancer-related lymphedema: statistical analysis of 2359 cases in 10 years

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