R-HEC: Registry of complications - Hospital El Cruce. Two-year analysis in a high complexity national health center

Abstract

[Abstract]: Objective. To analyze the rate of complications of patients undergoing diagnostic and therapeutic procedures at the Interventional Cardiology Department of Hospital El Cruce - Dr. Néstor Carlos Kirchner SAMIC. Methods. From August 2019 to October 2021, a total of 2055 patients were admitted to undergo diagnostic and/or therapeutic procedures—whether elective or emergency procedures—and then were prospectively and consecutively included. Demographic, clinical and complication data were collected through an application for mobile devices. Complications included in the analysis were categorized into minor (arrhythmias, hypersensitivity, heart failure, others) and major complications (bleeding, vascular complications, stroke, and death). Results. Of the 2055 patients included in the registry, 77.46% were men with a mean age of 54.9 ± 10.45 years. Coronary artery disease was the most frequent cause for which a study was requested. A total of 2529 procedures were performed: 1820 diagnostic (71.96%) and 709 therapeutic (28.04%). A total of 89 adverse events were recorded in 83 patients (4.03%). Diagnostic procedures had a rate of complications of 0.98% (18/1820), and therapeutic procedures, 10.01% (71/709). Among these events, vascular complications were the most frequent (n = 35) followed by death (n = 22), and bleeding (n = 13). The overall mortality rate was significantly higher in patients with femoral access (P = .0001). The overall mortality rate of acute myocardial infarction was 6%. Conclusions. The overall adverse event rate in the Interventional Cardiology Unit of Hospital El Cruce - Dr. Néstor Carlos Kirchner SAMIC was < 5% being vascular complications the most common occurrence. The overall rate of complications in a public center in Argentina compares favorably with national data and the results of other international registries.