There was a 22 percent decrease in the number of California Diagnostic Catheterizations (DxCaths) from 2019 (67,982) to 2022 (53,081).
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 left heart 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 22 percent decrease in the number of DxCaths from 2019 (67,982) to 2022 (53,081).
- The volume of DxCaths for males is about double that of females. There was a 20 percent decrease for males and a 25 percent decrease for females from 2019 to 2022.
- DxCath volume decreased by 19 percent for patients over 65 years old and by 25 percent for those 65 years old or younger from 2019 to 2022.
- The most common health insurance, Private Insurance Only, had a 19 percent decrease in DxCaths from 2019 to 2022, and Medicare Plus Private Insurance, the second most common health insurance, decreased by 23 percent during this time.
- DxCath volume decreased for all Race/Ethnicity groups from 2019 to 2022. The largest percent decrease was observed for Whites and Blacks (26 percent), followed by Hispanics (19 percent) and Native Hawaiian/Pacific Islanders (16 percent).
The visualization below displays the trends of DxCaths for Age Group, Assigned Sex at Birth, Health Insurance Payment Source, and Race/Ethnicity.
How HCAI Created This Product
- The source for this data report is the NCDR CathPCI Registry® from 2019 to 2022. 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, 2019-2022
Temporal Coverage: 2019-2022
Spatial/Geographic Coverage: Statewide
Frequency: Annually