https://doi.org/10.4081/gh.2024.1251
Geospatial epidemiology of coronary artery disease treated with percutaneous coronary intervention in Crete, Greece
Submitted: 6 November 2023
Accepted: 2 April 2024
Published: 16 May 2024
Accepted: 2 April 2024
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Coronary artery disease (CAD) constitutes a leading cause of morbidity and mortality worldwide. Percutaneous coronary intervention (PCI) is indicated in a significant proportion of CAD patients, either to improve prognosis or to relieve symptoms not responding to optimal medical therapy. Thus the annual number of patients undergoing PCI in a given geographical area could serve as a surrogate marker of the total CAD burden there. The aim of this study was to analyze the potential, spatial patterns of PCItreated CAD patients in Crete. We evaluated data from all patients subjected to PCI at the island’s sole reference centre for cardiac catheterization within a 4-year study period (2013-2016). The analysis focused on regional variations of yearly PCI rates, as well as on the effect of several clinical parameters on the severity of the coronary artery stenosis treated with PCI across Crete. A spatial database within the ArcGIS environment was created and an analysis carried out based on global and local regression using ordinary least squares (OLS) and geographically weighted regression (GWR), respectively. The results revealed significant inter-municipality variation in PCI rates and thus potentially CAD burden, while the degree and direction of correlation between key clinical factors to coronary stenosis severity demonstrated specific geographical patterns. These preliminary results could set the basis for future research, with the ultimate aim to facilitate efficient healthcare strategies planning.
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How to Cite
Melidoniotis, E., Kalogeropoulos, K., Tsatsaris, A., Zografakis-Sfakianakis, M., Lazopoulos, G., Tzanakis, N., Anastasiou, I., & Skalidis, E. (2024). Geospatial epidemiology of coronary artery disease treated with percutaneous coronary intervention in Crete, Greece. Geospatial Health, 19(1). https://doi.org/10.4081/gh.2024.1251
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