Monitoring quality of care in acute myocardial infarction patients using retrospective registry data

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Giovanni VeronesiMarco M Ferrario

Abstract

Hospital-based registries provide a key contribution in assessing the quality of care in acute myocardial infarction (MI) patients, although some concern on selection bias of included cases has recently arisen. We investigated the feasibility of a retrospective, population-based registry of MIs in monitoring the quality of care. We identified all the hospitalizations with a diagnosis of acute MI among 35-79 years old residents in the Varese province, Northern Italy, in 2007-2008. Information needed to define performance according to the American Heart Association set was extracted from hospital case histories. To characterize our approach, we focus on data completeness for critical event times and eligibility criteria, and on the analysis of ST-elevated MI (STEMI) patients according to received reperfusion treatment. Exact time of hospital admission and of percutaneous coronary angioplasty (PCI) procedure was available in 96% and 77% of MIs, with no difference between non-transferred (n = 1399) and inter-hospital transferred (n = 300) patients. Data completeness for eligibility to action/treatment criteria was >90% for each performance measure except statin prescription at discharge (76%). About 45% of STEMI experienced a delay...Continue Reading

References

Feb 23, 1999·The British Journal of Surgery·U Veronesi
Jan 9, 2008·Journal of the American Geriatrics Society·Andreas W SchoenenbergerUNKNOWN Acute Myocardial Infarction in Switzerland Plus Investigators
Nov 26, 2009·European Heart Journal·Petr WidimskyUNKNOWN European Association for Percutaneous Cardiovascular Interventions
Dec 25, 2009·Circulation. Cardiovascular Quality and Outcomes·Harlan M Krumholz
Dec 25, 2009·Circulation. Cardiovascular Quality and Outcomes·Ignacio Ferreira-GonzálezGaietà Permanyer-Miralda
Jan 23, 2010·European Heart Journal·Anselm K GittFranz Weidinger
Apr 22, 2010·Scandinavian Journal of Public Health·Maria RosvallJuan Merlo
Jun 12, 2010·Heart·Robert L McNamara
Apr 1, 2011·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Alessandro MartinoniUNKNOWN Lombardima Study Group
May 19, 2011·Circulation. Cardiovascular Quality and Outcomes·Véronique L Roger
May 19, 2012·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Adele CaldarellaEugenio Paci
Sep 18, 2012·Global Journal of Health Science·Tobias Romeyke, Harald Stummer
May 25, 2013·Current Opinion in Cardiology·David Brieger, Bernadette Aliprandi-Costa
Oct 4, 2016·Revista Española De Cardiología·Massimo F PiepoliW M Monique Verschuren

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