Aspirin administration for cardiac-related acute chest pain/angina: increased use in Medicare patients
| Autor: | Robert L. Abel, P. Pendergrass, Malone M, K Sabharwal, M Bing, C McCauley |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty Medicare Angina Pectoris Angina medicine Acute chest pain Humans Practice Patterns Physicians' Cause of death Aged Aspirin business.industry Public health Medical record Anti-Inflammatory Agents Non-Steroidal General Medicine medicine.disease Texas United States Surgery Hospitalization Chemoprophylaxis Emergency medicine Acute Disease Critical Pathways Female business Administration (government) medicine.drug |
| Zdroj: | Southern medical journal. 92(1) |
| ISSN: | 0038-4348 |
| Popis: | BACKGROUND: Coronary heart disease (CHD), the leading cause of death in the United States, accounted for approximately 490,000 deaths in 1993. Angina pectoris, a manifestation of CHD, accounted for 13,586 Medicare discharges in 1993 in Texas. A pilot project showed aspirin prophylaxis that reduces cardiovascular morbidity and mortality in individuals with acute angina is underused. Texas Medical Foundation collaborated with 10 acute-care facilities to improve aspirin prophylaxis. METHODS: Collaborators assessed processes of care and implemented clinical pathways to improve aspirin administration. Data were abstracted from medical records before and after pathway implementation to evaluate impact. RESULTS: Aspirin administration during hospital stay increased 10.8%, aspirin administration on discharge increased 11.7%, and average time from arrival to aspirin administration decreased 2.9 hours. CONCLUSIONS: Results suggest collaborator-implemented clinical pathways significantly improved care received by Medicare patients admitted for cardiac-related acute chest pain/angina. Data suggest room for further improvement. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |