Adherence to process of care quality indicators after percutaneous coronary intervention in Ontario, Canada: a retrospective observational cohort study

Open Heart
Andrew CzarneckiDennis T Ko

Abstract

Public reporting of percutaneous coronary intervention (PCI) outcomes has been established in many jurisdictions to ensure optimal delivery of care. The majority of PCI report cards examine in-hospital mortality, but relatively little is known regarding the adherence to processes of care. A modified Delphi panel comprising cardiovascular experts was assembled to develop a set of PCI quality indicators. Indicators such as prescription of aspirin, dual antiplatelet therapy, statins and smoking cessation counselling were identified to represent high-quality PCI care. Chart abstraction was performed at 13 PCI hospitals in Ontario, Canada from 2009 to 2010 with at least 200 PCI patients randomly selected from each hospital. Our study sample included 3041 patients, of whom 18% had stable coronary artery disease (CAD) and 82% had an acute coronary syndrome (ACS). Their mean age was 63±12.4 years and 29% of patients were female. Prior to PCI, 89% were prescribed aspirin, and after PCI 98.7% were prescribed aspirin, 95.1% were prescribed dual antiplatelet therapy for 12 months after drug-eluting stents, and 94.9% were prescribed statins. The lowest performing quality indicator was smoking cessation counselling, observed in only 42% of c...Continue Reading

References

Jul 6, 2006·JAMA : the Journal of the American Medical Association·Elizabeth H BradleyHarlan M Krumholz
Jan 4, 2007·JAMA : the Journal of the American Medical Association·Gregg C FonarowUNKNOWN OPTIMIZE-HF Investigators and Hospitals
Dec 5, 2008·The Canadian Journal of Cardiology·Dennis T KoUNKNOWN National Expert Panel
Jul 21, 2009·The American Journal of Cardiology·Atul AggarwalUNKNOWN American College of Cardiology National Cardiovascular Data Registry
May 1, 2010·Journal of the American College of Cardiology·Eric D PetersonUNKNOWN NCDR Registry Participants
Oct 16, 2012·Journal of the American College of Cardiology·Dennis T KoUNKNOWN Cardiac Care Network (CCN) of Ontario Variations in Revascularization Practice in Ontario (VRPO) Working Group

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Citations

Nov 12, 2017·Acta Cardiologica·Claude HanetUNKNOWN College of Cardiology
Jul 29, 2016·Journal of Pediatric Hematology/oncology·Jennifer TeichmanSumit Gupta

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

SAS

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