Multi-Center, Prospective, Nation-Wide Coronary
Angioplasty Registry in Thailand (Thai PCI Registry):
Registry Design and Rationale
Nakarin Sansanayudh MD, PhD¹, Suphot Srimahachota MD², Mann Chandavimol MD³, Thosaphol Limpijankit MD³,
Wirash Kehasukcharoen MD⁴, Siriporn Athisakul MD², Pisit Hutayanon MD⁵, Dilok Piyayotai MD⁵,
Srun Kuanprasert MD⁶, Songsak Kiatchoosakun MD⁷, Noppadol Chamnarnphol MD⁸, Worawut Roongsangmanoon MD⁹,
Poj Jianmongkol MD¹⁰, Worawut Tassanawiwat MD¹¹, Wiwat Kanjanarutjawiwat MD¹², Pornchai Ngamjanyaporn MD¹³,
Anuchit Wongphen MD¹⁴, Anek Kanoksilp MD⁴, Pannipa Suwannasom MD⁶, Rungroj Krittayap
Affiliation : ¹ Cardiology Unit, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand; ² Cardiac Center, King Chulalongkorn Memorial Hospital, Bangkok, Thailand; ³ Division of Cardiology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; ⁴ Cardiovascular and Intervention Department, Central Chest Institute of Thailand, Nonthaburi, Thailand; ⁵ Cardiology Unit, Department of Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand; ⁶ Cardiovascular Division, Department of Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; ⁷ Cardiology Unit, Department of Medicine, Khon Kaen University, Khon Kaen, Thailand; ⁸ Cardiology Unit, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand; ⁹ Division of Cardiology, Department of Medicine, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand; ¹⁰ Cardiology Unit, Department of Medicine, Buddhachinaraj Phitsanulok Hospital, Phitsanulok, Thailand; ¹¹ Cardiology Unit, Department of Medicine, Sunpasitthiprasong Hospital, Ubon Ratchathani, Thailand; ¹² Cardiac Catheterization Laboratory at Cardiac Center of Excellence, Phrapokklao Hospital, Chanthaburi, Thailand; ¹³ Cardiology Unit. Department of Medicine, Chonburi Hospital, Chonburi, Thailand; ¹⁴ Cardiology Unit, Department of Medicine, Udonthani Hospital, Udonthani, Thailand; ¹⁵ Division of Cardiology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand; ¹⁶ Department of Medicine, Vichaiyut Hospital, Bangkok, Thailand; ¹⁷ Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital, Bangkok, Thailand
Background: Coronary artery disease (CAD) is one of the most common causes of death worldwide. Percutaneous coronary intervention (PCI) is currently the main
revascularization modality for these patients. The practice of PCI, outcomes and resource utilization varies in many parts of the world. Therefore, it is important to have
local information regarding the patient demographics, pattern of PCI practice, and outcomes.
Objective: To report the study design, protocol and rationale of the Thai PCI registry.
Materials and Methods: Thai PCI Registry is a prospective, multi-center study which is an initiative project of the Cardiac Intervention Association of Thailand (CIAT). The study consisted of phase I for cross-sectional data registry and phase II for follow up study. The project was started in November 2015. All catheterization laboratories in Thailand were invited to participate in this nationwide registry. The details regarding patient characteristics, procedural details, equipment, and outcomes of PCI were prospectively collected using well-constructed case record form. The protocol of the registry has been approved by the Central Research Ethics Committee (CREC). The project received a research grant from the Health System Research Institute, The Ministry of Public Health, in Thailand, March 2017.
Results: There were 39 hospitals from all areas of the country participated in the registration. The hospital type and size were varied and well represented of the PCI centers in Thailand. The registry planned to enroll all consecutive PCI patients at each hospital for approximately one year with the estimated number of PCI at 22,000 procedures. Initially, all patients were followed up for at least 6 and 12 months.
Conclusion: The present study provides rationale, protocol, definition and study design of Thai PCI registry. The results of the Thai PCI registry would yield the essential information regarding the current real-world practice as well as the results and complications of PCI.
Received 22 June 2021 | Revised 21 September 2021 | Accepted 21 September 2021
doi.org/10.35755/jmedassocthai.2021.10.13066
Keywords :
Coronary angioplasty; Nationwide registry; Percutaneous coronary intervention; Thailand; Real-world
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