Factors associated with compliance to AHA/ACC performance measures in a myocardial infarction system of care in Brazil

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Maria Letícia L LanaBruno Ramos Nascimento

Abstract

To evaluate compliance with American Heart Association/American College of Cardiology (AHA/ACC) performance measures for adults with acute myocardial infarction (AMI) and to investigate the factors associated with compliance, in an AMI System of Care in Brazil. Observational longitudinal study. A high-complexity University Hospital, part of the AMI System of Care implemented in Belo Horizonte, Brazil, in 2010. Of note, 1129 patients with ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction (NSTEMI) admitted to a single center over 36 months (between 2011 and 2014). Compliance with 13 pre-specified AHA/ACC AMI performance measures was evaluated for patients with AMI, observing exclusion criteria and appropriate numerators and denominators. Median compliance was calculated and variables independently associated with compliance rates were evaluated. Median age was 60 (51/68) years, 67.7% male, 69.8% presented with STEMI and hospital mortality was 8.7%. Median compliance with performance measures was 83% (75/88). Among patients with STEMI, 56% received reperfusion therapy. Overall, 67.3% of patients complied with ≥80% of quality measures. Factors independently associated with better compliance were ...Continue Reading

References

Jan 1, 1996·Annals of Emergency Medicine·R E JacksonA G Wilson
Jul 22, 2005·The New England Journal of Medicine·Scott C WilliamsJerod M Loeb
Apr 28, 2006·JAMA : the Journal of the American Medical Association·Eric D PetersonE Magnus Ohman
Dec 14, 2006·JAMA : the Journal of the American Medical Association·Rachel M Werner, Eric T Bradlow
Aug 20, 2009·JAMA : the Journal of the American Medical Association·Harlan M KrumholzSharon-Lise T Normand
Jan 19, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Zachary F MeiselCharles V Pollack
Aug 19, 2010·JAMA : the Journal of the American Medical Association·Christian Juhl TerkelsenJens Flensted Lassen
Dec 13, 2012·Circulation. Cardiovascular Quality and Outcomes·Davi Jorge Fontoura SollaPollianna de Souza Roriz
Dec 19, 2012·Circulation·Patrick T O'GaraUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Oct 7, 2015·PLoS Medicine·Eric I BenchimolUNKNOWN RECORD Working Committee

❮ Previous
Next ❯

Citations

Oct 1, 2018·Heart·Bruno R NascimentoAntonio Luiz P Ribeiro
Oct 27, 2018·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Airton Tetelbom SteinArn Migowski
Sep 24, 2020·Arquivos brasileiros de cardiologia·Leonardo Alves, Carisi Anne Polanczyk
Oct 8, 2020·Arquivos brasileiros de cardiologia·Gláucia Maria Moraes de OliveiraAntonio Luiz Pinho Ribeiro

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.