Public Reporting of Cardiac Outcomes for Patients With Acute Myocardial Infarction
| Autor: | Pamela B. de Cordova, Mary L. Johansen, Jeannette Rogowski, Kathryn A. Riman |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Adverse outcomes medicine.medical_treatment Myocardial Infarction MEDLINE 030204 cardiovascular system & hematology Article 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine Public reporting medicine Humans cardiovascular diseases 030212 general & internal medicine Myocardial infarction Methodological quality Health policy Advanced and Specialized Nursing business.industry Percutaneous coronary intervention Public Reporting of Healthcare Data medicine.disease Treatment Outcome Emergency medicine Conventional PCI Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiovascular Nursing. 34:115-123 |
| ISSN: | 1550-5049 0889-4655 |
| Popis: | Background Percutaneous coronary intervention (PCI) is recognized by both the American Heart Association and the American College of Cardiology as an optimal therapy to treat patients experiencing acute myocardial infarction (AMI) with ST-segment elevation myocardial infarction. A health policy aimed at improving outcomes for the patient with AMI is public reporting of whether a patient received a PCI. Objective A systematic review was conducted to evaluate the effect of public reporting for patients with AMI, specifically for those patients who receive PCI. Methods EMBASE, MEDLINE, Academic Search Premier, Google Scholar, and PubMed were searched from inception through August 2017. Articles were selected for inclusion if researchers evaluated public reporting and included an outcome for whether a patient received a PCI during hospitalization for an AMI. Methodological quality of the included studies was evaluated, and findings were synthesized. Results Eight studies of high methodological quality were included in the review. Most studies found that, in areas of public reporting, patients were less likely to undergo a PCI and high-risk patients did not undergo a PCI. Researchers also found that patients with AMI had lower in-hospital mortality after the implementation of public reporting, but only if these patients received a PCI. Conclusions Although public reporting may have had intentions of improving care, there is strong evidence that this policy did not result in more timely PCIs or improved mortality of patients with AMI. In fact, public reporting resulted in unintended consequences of not providing care for the most vulnerable patients in fear of an adverse outcome. |
| Databáze: | OpenAIRE |
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