The 2020 ESC-ACVC quality indicators for the management of acute myocardial infarction applied to the FAST-MI registries
| Autor: | Nicolas Danchin, Nicolas Meneveau, Chris P Gale, Héctor Bueno, Maddalena Lettino, Jean Ferrières, Francois Schiele, Keith A.A. Fox, Tabassome Simon, Etienne Puymirat, Marco Tubaro, Fiona Ecarnot |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Multivariate analysis business.industry media_common.quotation_subject Cardiology Myocardial Infarction General Medicine Benchmarking 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine medicine.disease 03 medical and health sciences 0302 clinical medicine Emergency medicine medicine Humans Quality (business) Registries 030212 general & internal medicine Myocardial infarction Cardiology and Cardiovascular Medicine business Quality Indicators Health Care media_common |
| Zdroj: | European Heart Journal. Acute Cardiovascular Care. 10:207-215 |
| ISSN: | 2048-8734 2048-8726 |
| DOI: | 10.1093/ehjacc/zuab010 |
| Popis: | Aims We estimated the 2020 European Society of Cardiology-Acute Cardio Vascular Care (ESC-ACVC) quality indicators (QI) for the management of acute myocardial infarction, from three existing registries to determine the feasibility of assessment, room for improvement, association with outcomes, and suitability for centre benchmarking. Methods and results Data were extracted from three French nationwide registries, namely FAST-MI 2005, 2010, and 2015. Feasibility of assessment and room for improvement were estimated by the denominator (patients in whom QI could be measured) and numerator (patients who satisfied the QI, among those eligible). Associations between composite QIs (CQIs) and mortality were assessed by multivariate analysis. Centre benchmarking was based on the centres mean CQI, vs. the national mean. The 2020 QIs were measured in 12 660/13 130 patients from FAST-MI. Measurement feasibility ranged from 15% to 100% with greater potential for implementation with the 2020 QI set. The mean (±SD) value of the opportunity-based CQI was 0.72 ± 0.01 and attainment of the all-or-none CQI 8.5%. Both CQIs were associated with adjusted 1-year mortality. Centre categorization into low, intermediate, and high quality was feasible, and distinguished centres with differing mortality. Conclusion Most of the 2020 QI can be measured from existing registries in all domains but not in the patient’s satisfaction domain. This assessment shows potential for implementation. Both CQIs were inversely associated with one-year mortality and centre benchmarking was feasible. |
| Databáze: | OpenAIRE |
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