California Diagnostic Catheterization Volume by Sociodemographic Categories

There was a 24% decrease in the number of California Diagnostic Catheterizations (DxCaths) from 2019 (67,982) to 2023 (51,393).

Why Analyze Diagnostic Catheterization Volume?

DxCaths are specifically defined as diagnostic left heart catheterizations. In this procedure, a catheter is passed into the left ventricle of the heart to perform a coronary angiogram or to measure ventricular pressures and/or oxygen saturation (diagnostic catheterizations are defined according to the National Cardiovascular Data Registry (NCDR) CathPCI Registry Full Specifications Data Dictionary v5.0).

This report evaluates the changes in the volume of DxCaths in California by sociodemographic categories over time and is important in the evaluation of hospital resources, regional health policy, quality improvement, and the promotion of health equity.

Key Findings

  • There was a 24% decrease in the number of DxCaths from 2019 (67,982) to 2023 (51,393).
  • The volume of DxCaths for males is about double that of females. There was a 23% decrease for males and a 28% decrease for females from 2019 to 2023.
  • DxCath volume decreased by 20% for patients over 65 years old and by 29% for those 65 years old or younger from 2019 to 2023.
  • The most common health insurance, Private Insurance Only, had a 24% decrease in DxCaths from 2019 to 2023, and Medicare Plus Private Insurance, the second most common health insurance, decreased by 21% during this time.
  • DxCath volume decreased for all Race/Ethnicity groups from 2019 to 2023, The largest percent decrease was observed for Whites (30%), followed by Blacks (25%) and Native Hawaiian/Pacific Islanders (21%).

The visualization below displays the trends of DxCaths for Age Group, Assigned Sex at Birth, Health Insurance Payment Source, and Race/Ethnicity.

Visualization

How HCAI Created This Product

  • The source for this data report is the NCDR CathPCI Registry® from 2019 to 2023. The NCDR is an initiative of the American College of Cardiology Foundation®.
  • Health Insurance Payment Sources definitions are based on definitions used by the NCDR CathPCI Registry® as the following:
    • Private Insurance Only: Only Private Insurance
    • Medicare Plus Private Insurance: Medicare and Private Insurance
    • Medicare Plus Other Insurance: Medicare and Military Health Care or Non-US Insurance
    • Medi-Cal Plus Other Insurance: Medi-Cal and Private Insurance or Military Health Care or Non-US Insurance
    • Dual Eligible: Medicare and Medi-Cal; or Medicare and State-Specific Plan (Non-Medi-Cal) or Indian Health Service; or Medi-Cal and State-Specific Plan (Non-Medi-Cal) or Indian Health Service
    • All Other Insurance: State-Specific Plan (Non-Medi-Cal) or Military Health Care or Indian Health Service or Non-US Insurance

Additional Information

Topic: Healthcare Quality
Source Link: NCDR CathPCI Registry Data
Citation: NCDR CathPCI Registry – California Diagnostic Catheterization (DxCath) Volume by Sociodemographic Categories, 2019-2023
Temporal Coverage: 2019-2023
Spatial/Geographic Coverage: Statewide
Frequency: Annually