- The document discusses health-related quality of life (HRQOL), which refers to how an individual's well-being may be impacted by health or disease. It is measured through patient-reported outcomes.
- HRQOL looks at physical, emotional, and social functioning on a scale of 0-100. It is used to compare treatments and understand the impact of diseases on patients' daily lives.
- The document provides an example study that used HRQOL measures like the Duke Activity Status Index and quality-adjusted life years to determine that routine PCI did not significantly improve outcomes for stable heart attack patients compared to medical therapy alone.
Kimberley Haines is a senior ICU physiotherapist and the Allied Health Research Lead at Western Health. Her academic research focusses on the long term progress of ICU survivors. Here she discusses the developing puzzle of ICU outcomes.
Zsolt Nagykaldi: Shifting the focus from disease to healthaimlabstanford
In this talk from Stanford Medicine X 2013, the University of Oklahoma's Dr. Zsolt Nagykaldi, PhD, discusses a paradigm shift at the heart of patient-centered care, from treating the unwell to maintaining the healthy.
Exercise Is Medicine: How a Medical Fitness Center Differs from a Health ClubMercy Medical Center
During his presentation on 2/25/14, Eldon Jones, director of health & fitness at Mercy Medical Center in Canton, Ohio, explains how exercise often is as effective as medication in treating certain chronic serious health conditions, including heart disease, diabetes and more.
Eldon also covered how a medical fitness center differs from a tradition gym or health club.
Other topics covered in the presentaton:
* The importance of prescribing exercise
* US Physical Activity Guidelines
* Cardiac rehabilitation and how it works
* Components of ExRx for risk factor reduction
* FITT principle
* Stages of conditioning
* Strength training
Using Enhanced Recovery After Surgery (ERAS) to Enhance Postoperative OutcomesWellbe
Speaker: Francesco Carli, MD, MPhil, senior staff anesthesiologist at the McGill University Health Centre
Cost: Complimentary, sponsored by Wellbe
There is strong evidence that many of aspects of surgical care have little evidence, and therefore the Enhanced Recovery After Surgery (ERAS) program has been set up to accelerate the recovery process and decrease the rate of postoperative complications. There is an opportunity to improve outcomes by using team approach and revision of the standard procedures.
Learn about:
– The elements of ERAS protocols
– How to structure the Team approach
– The role of the patient in ERAS
– How to perform an audit of your program
About the Speaker:
Francesco Carli, MD, MPhil, is Professor of Anesthesia at McGill University and Associate Professor in the School of Dietetics and Human Nutrition at McGill University and a senior staff anesthesiologist at the McGill University Health Centre. He is currently an Elected Member of the American Academy of Anesthesia and a Board Member of the Enhanced Recovery After Surgery (ERAS) Society. Dr. Carli completed his medical training and anesthesia training in Turin, Italy, Paris, France, and London, England. He completed a Master’s Degree in surgical metabolism at the University of London, England.
His research interests are: metabolic changes associated with surgery and the impact of perioperative interventions (regional analgesia, nutrition, hormones, exercise) on postoperative recovery; evaluation of functional outcome measures during the surgical recovery process; prehabilitation of surgical patients. He is the author of over 250 peer-review scientific articles and has been a recipient of over 50 peer and non peer-review grants.
Kimberley Haines is a senior ICU physiotherapist and the Allied Health Research Lead at Western Health. Her academic research focusses on the long term progress of ICU survivors. Here she discusses the developing puzzle of ICU outcomes.
Zsolt Nagykaldi: Shifting the focus from disease to healthaimlabstanford
In this talk from Stanford Medicine X 2013, the University of Oklahoma's Dr. Zsolt Nagykaldi, PhD, discusses a paradigm shift at the heart of patient-centered care, from treating the unwell to maintaining the healthy.
Exercise Is Medicine: How a Medical Fitness Center Differs from a Health ClubMercy Medical Center
During his presentation on 2/25/14, Eldon Jones, director of health & fitness at Mercy Medical Center in Canton, Ohio, explains how exercise often is as effective as medication in treating certain chronic serious health conditions, including heart disease, diabetes and more.
Eldon also covered how a medical fitness center differs from a tradition gym or health club.
Other topics covered in the presentaton:
* The importance of prescribing exercise
* US Physical Activity Guidelines
* Cardiac rehabilitation and how it works
* Components of ExRx for risk factor reduction
* FITT principle
* Stages of conditioning
* Strength training
Using Enhanced Recovery After Surgery (ERAS) to Enhance Postoperative OutcomesWellbe
Speaker: Francesco Carli, MD, MPhil, senior staff anesthesiologist at the McGill University Health Centre
Cost: Complimentary, sponsored by Wellbe
There is strong evidence that many of aspects of surgical care have little evidence, and therefore the Enhanced Recovery After Surgery (ERAS) program has been set up to accelerate the recovery process and decrease the rate of postoperative complications. There is an opportunity to improve outcomes by using team approach and revision of the standard procedures.
Learn about:
– The elements of ERAS protocols
– How to structure the Team approach
– The role of the patient in ERAS
– How to perform an audit of your program
About the Speaker:
Francesco Carli, MD, MPhil, is Professor of Anesthesia at McGill University and Associate Professor in the School of Dietetics and Human Nutrition at McGill University and a senior staff anesthesiologist at the McGill University Health Centre. He is currently an Elected Member of the American Academy of Anesthesia and a Board Member of the Enhanced Recovery After Surgery (ERAS) Society. Dr. Carli completed his medical training and anesthesia training in Turin, Italy, Paris, France, and London, England. He completed a Master’s Degree in surgical metabolism at the University of London, England.
His research interests are: metabolic changes associated with surgery and the impact of perioperative interventions (regional analgesia, nutrition, hormones, exercise) on postoperative recovery; evaluation of functional outcome measures during the surgical recovery process; prehabilitation of surgical patients. He is the author of over 250 peer-review scientific articles and has been a recipient of over 50 peer and non peer-review grants.
Dr Anna Campbell's keynote speech 'The Importance of Staying Active after a Cancer Diagnosis' at the SCPN's 'Be Active Against Cancer' conference, Tuesday 4th February 2014.
Multiple interventions in the ICU - are they worthwhile?scanFOAM
A presentation by Janet Froulund Jensen at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
Exercise Oncology Transforming Research to Practice shareableAndrewChongaway
PPT discussing available research in exercise and rehabilitation with the oncology population. Takes a look at the pitfalls of exercise programming in the oncology population as well as ideas to promote appropriate exercise programming in the rehab and wellness settings.
Over the last 4 years 1 million well-being surveys have been completed using the Gallup-Healthways Wellbeing Index. One-Thousand surveys are completed every night and are representative of wellbeing in every area of the US. These surveys have illuminated the wellbeing needs of Americans, how well-being impacts their social, emotional, and physical health, and what the field of health promotion must do differently to impact the health of Americans. The Gallup wellbeing index findings, and recommendations on how to better impact well-being will be addressed in this webinar.
Dr Anna Campbell's keynote speech 'The Importance of Staying Active after a Cancer Diagnosis' at the SCPN's 'Be Active Against Cancer' conference, Tuesday 4th February 2014.
Multiple interventions in the ICU - are they worthwhile?scanFOAM
A presentation by Janet Froulund Jensen at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
Exercise Oncology Transforming Research to Practice shareableAndrewChongaway
PPT discussing available research in exercise and rehabilitation with the oncology population. Takes a look at the pitfalls of exercise programming in the oncology population as well as ideas to promote appropriate exercise programming in the rehab and wellness settings.
Over the last 4 years 1 million well-being surveys have been completed using the Gallup-Healthways Wellbeing Index. One-Thousand surveys are completed every night and are representative of wellbeing in every area of the US. These surveys have illuminated the wellbeing needs of Americans, how well-being impacts their social, emotional, and physical health, and what the field of health promotion must do differently to impact the health of Americans. The Gallup wellbeing index findings, and recommendations on how to better impact well-being will be addressed in this webinar.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
1. Health-Related Quality of Life (HRQOL)
Ron D. Hays, Ph.D. (drhays@ucla.edu)
UCLA Division of General Internal Medicine and Health
Services Research, Department of Medicine
UCLA Nursing School Students
Factor Building Room 4145 (July 20, 2009, 10:30-11:30 am)
http://www.gim.med.ucla.edu/FacultyPages/Hays/
2. Recent HRQOL Publications
Urology. 2009 Jul 7. [Epub ahead of print],
Responsiveness of the University of
California-Los Angeles Prostate Cancer
Index. Bergman J, Saigal CS, Kwan L,
Litwin MS.
Arch Intern Med. 2009 Jun 22;169(12):1104-
12. The impact of selecting a high
hemoglobin target level on health-related
quality of life for patients with chronic
kidney disease: a systematic review and
meta-analysis. Clement FM, Klarenbach S,
Tonelli M, Johnson JA, Manns BJ.
3. Recent HRQOL Publications
J Natl Cancer Inst. 2009 Jun 16;101(12):860-8.
Epub 2009 Jun 9. Impact of cancer on health-
related quality of life of older Americans.
Reeve BB, Potosky AL, Smith AW, Han PK,
Hays RD, Davis WW, Arora NK, Haffer SC,
Clauser SB.
N Engl J Med. 2009 Feb 19;360(8):774-83.
Quality of life after late invasive therapy for
occluded arteries. Mark DB, Pan W, Clapp-
Channing NE, Anstrom KJ, Ross JR, Fox RS,
Devlin GP, Martin CE, Adlbrecht C, Cowper
PA, Ray LD, Cohen EA, Lamas GA, Hochman
JS; Occluded Artery Trial Investigators.
5. Process of Care
• Technical Quality (expert consensus)
– Quality of Care “If Then” Indicators
• % of patients with diabetes with one or more
HbA1c tests annually
• Interpersonal Quality (patient reports)
– In the last 12 months, how often did your
doctor explain things in a way that was
easy to understand?
6. Health Outcomes
• Biological
– % of patients with diabetes with most recent
HbA1c level >9.0% ( poor control)
• HRQOL
– In general, would you say that your health is:
• Excellent
• Very good
• Good
• Fair
• Poor
9. Health-Related Quality of Life is:
• How the person FEELs (well-being)
• Emotional well-being
• Pain
• Energy
• What the person can DO (functioning)
• Self-care
• Role
• Social
10. HRQOL is Not
• Quality of
environment
• Type of housing
• Level of income
• Social Support
11. Greater % of fair or poor health reported
by older adults (33% for 75+ versus 9% for 18-34)
12. In general, how would you
rate your health?
Poor
Fair
Good
Very Good
Excellent
13. Does your health now limit you
in walking more than a mile?
(If so, how much?)
No, not limited at all
Yes, limited a little
Yes, limited a lot
14. How much of the time during the
past 4 weeks have you been
happy?
None of the time
A little of the time
Some of the time
Most of the time
All of the time
15. X0-100 =
(original score - minimum) *100
0-100 Scoring of HRQOL Scales
(maximum - minimum)
Average or sum all items in the same scale.
0 (worst) to 100 (best) possible range (linear)
transformation
16. The following items are about activities you might
do during a typical day. Does your health now limit
you in these activities? If so, how much?
1. Yes, limited a lot ------> 0
2. Yes, limited a little ----> 50
3. No, not limited at all -->100
1. Vigorous activities, such as running, lifting heavy objects,
participating in strenuous sports
2. Moderate activities, such as moving a table, pushing a
vacuum cleaner, bowling, or playing golf
3. Lifting or carrying groceries
4. Climbing several flights of stairs
5. Climbing one flight of stairs
6. Bending, kneeling, or stooping
7. Walking more than a mile
8. Walking several blocks
9. Walking one block
10. Bathing or dressing yourself
17. Change in Physical Function
My score today = 100
Event #1:
- Hit by Rock results in being limited a little in vigorous
activities
- Post-intervention score: 95 ( - 0.25 SD)
Event #2:
- Hit by Bike results in me being:
- limited a lot in vigorous activities and in climbing several flights
of stairs
- limited a little in moderate activities
- Post-intervention score: 75 (- 1.25 SD)
Mean = 87 (SD = 20)
75th percentile = 100 (U.S. males)
18. 6
2
17
5
0
2
4
6
8
10
12
14
16
18
<35 35-44 45-54 >55
%
Dead
(n=676) (n=754) (n=1181) (n=609)
SF-36 Physical Health Component Score (PCS)—T score
Ware et al. (1994). SF-36 Physical and Mental Health Summary Scales: A User’s Manual.
Self-Reported Physical Health
Predictive of 5-Year Mortality
19. Is New Treatment (X) Better
Than Standard Care (O)?
0
10
20
30
40
50
60
70
80
90
100
X
0
X
0
Physical
Function
X > 0
Mental
Health
0 > X
0
X
Social Health
0 > X
20. Medicine Use Diminishes HRQOL?
1 No dead
2 No dead
3 No 50
4 No 75
5 No 100
6 Yes 0
7 Yes 25
8 Yes 50
9 Yes 75
10 Yes 100
Medication
Person Use HRQOL (0-100 scale)
No Medicine 3 75
Yes Medicine 5 50
Group n HRQOL
21. Perfect Health
Bad as being dead
Preference-based HRQOL Measure Yields Summary Score
23. Quality of Life after Late Invasive
Therapy for Occluded Arteries
• Patients with totally occluded infarct-
related artery 3-28 days after MI
• Randomized to:
– Medical therapy alone (n = 474)
– Percutaneous coronary intervention (PCI)
plus stenting (n = 477)
• Primary outcome—composite of death,
reinfarction, or hospital treatment for
class IV heart failure
24. Health-Related Quality of Life
Outcome Measures (baseline,
4, 12 & 24 months)
• Duke Activity Status Index (DASI)
• Medical Outcomes Study 36-Item Short-
Form (SF-36) Mental Health Scale (MHI-5)
• Time tradeoff (TTO)
25. DASI
• Self-administered questionnaire
measuring physical functioning (designed
to estimate peak oxygen uptake).
– Can you run a short distance?
– Can you do yard work like raking leaves
weeding or pushing a power mower?
• 0-58 score range (higher is better),
>=4 is “clinically significant”
26. MHI-5
• How much of the time during the past 4
weeks:
– Have you been a very nervous person?
– Have you felt so down in the dumps that
nothing could cheer you up?
– Have you felt calm and peaceful?
– Have you felt down-hearted and blue?
– Have you been a happy person?
• 0-100 score range (higher is better),
>=5 is “clinically significant”
27. Cardiac Symptoms
• Rose
– Angina questionnaire (7 questions)
• Chest pain and whether provoked by walking
and relieved by rest
– Dyspnea questionnaire (4 questions)
28. Choice #1: Your present state
Life Expectancy: 10 years
Choice #2: Excellent health
How many years (x) would you give up in your
current state to be able to have complete
mobility?
[ 1 - X = QALY ]
10
TTO
29. How many years (x) would you give up in your
current state to be able to have excellent health?
X = 0 QALY = 1
X = 1 -> QALY = 0.9
X = 5 -> QALY = 0.5
X = 10 -> QALY = 0
[ 1 - X = QALY ]
10
TTO Estimates
30. Results & Conclusions
• 2-year net cost was $7,089 for PCI
• DAI at 4 months
– PCI (37) versus Medical therapy (33)
• 2-year QALYs
– 1.42 vs.1.45 for PCI and Medical therapy
Does not support common practice of routine
PCI in patients in stable condition after MI
with occluded infarct-related artery.