MICROALBUMINURIA IN NORMOTENSIVE DIPPERS AND NON-DIPPERS USING 24hr ABPM

Autor: H.H. Lee, M. Matangi
Rok vydání: 2014
Předmět:
Zdroj: Canadian Journal of Cardiology. 30:S212-S213
ISSN: 0828-282X
DOI: 10.1016/j.cjca.2014.07.351
Popis: of care and increase health system accountability. To date, no published literature exists assessing the utilization of and adherence to CCS QIs for CR. We examine temporal trends of adherence to CCS/CACR QIs for CR and SP at a Canadian CR program. METHODS: The CR QIs were reconciled with retrospective data collected in the Cardiovascular & Pulmonary Health in Motion (CPHM) CR database from 1999-2012, and incorporated data abstracted from the Maritime Heart Centre and Cardiovascular Health Nova Scotia registries. Adherence rates to each of the five published most important QIs were analyzed over time, using mainly descriptive statistics. RESULTS: From 2008 to 2012, 7665 inpatients were identified as having diagnoses deemed eligible for CR, of whom 66.7% were referred to CR. Referral rates annually remained stable. Between 1999 and 2012, 4443 patients enrolled in CR. Wait times over that period were within the 30-day QI recommendation, at a median of 27 days from referral to enrollment. Median wait times increased annually over the first six years, but remained stable thereafter. Almost all CRattending participants (93.5%) received self-management education. Most of the 2566 CR program-completing participants (77.6%) achieved the half metabolic equivalent (MET) increase in exercise capacity from program entry to exit. A documented emergency response strategy exists and 100% of the clinical staff at CPHM have been appropriately qualified. CONCLUSION: This retrospective study assesses the application of cardiac rehabilitation and secondary prevention QIs in a real-world setting, and characterizes the degree to which contemporary cardiac rehabilitation care is consistent with guidelines. The results of this study offer a basis of future internal and external program comparison over time, and will be incorporated into routine quality improvement practices to further improve patients’ cardiovascular health and care.
Databáze: OpenAIRE
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