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February 26, 2010Critical Pathways in Cardiology A Journal of Evidence-Based Medicine

Regional Differences in Quality of Care and Outcomes for the Treatment of Acute Coronary Syndromes

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Why the study?

Does hospital participation in a national performance improvement program result in consistent quality of care across geographic regions in patients with acute coronary syndromes?

Population

161,236 patients admitted for acute coronary syndromes to 436 Get With The Guidelines hospitals across 4…

Comparison

Hospital participation in the American Heart… vs Comparison across 4 geographic regions

Design

Cohort

Follow-up

in-hospital

Authors

WLWarren K. LaskeyNSNathan SpenceXZXin Zhao

Discussion

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Member takes

Overview

Supports consistent ACS care quality across regions in participating hospitals; leaves open program causality versus selection.

Structured PICO

Does hospital participation in a national performance improvement program result in consistent quality of care across geographic regions in patients with acute coronary syndromes?

P
Population
161,236 patients admitted for acute coronary syndromes (ACS) to 436 Get With The Guidelines hospitals across 4 geographic regions
I
Intervention
Hospital participation in the American Heart Association Get With The Guidelines-Coronary Artery Disease Program
C
Comparator
Comparison across 4 geographic regions (Northeast, Midwest, South, and West)
O
Outcome
Binary 'all-or-none' process performance measure (conformity to 6 quality measures: aspirin within 24 hours, aspirin at discharge, ACEI or ARB therapy for LVSD, beta-blocker at discharge, lipid-lowering medication, smoking cessation advice)composite

Participation in a national quality improvement program is associated with consistent, high-quality care and similar in-hospital mortality for ACS patients across different geographic regions.

Cite This Study

Laskey et al. (2010) studied this question.

synapsesocial.com/papers/6a0896d0ae7f011b61ddf2dahttps://doi.org/10.1097/hpc.0b013e3181cdb5a5
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Geographic Variation in the Treatment of Acute Myocardial Infarction1999 · 330 citations
  2. 2Regional Variations in Heart Failure Quality and Outcomes: Get With The Guidelines–Heart Failure Registry2021 · 40 citations
  3. 3Regional variations in management and outcomes of patients with acute coronary syndrome in China: Evidence from the National Chest Pain Center Program2024 · 17 citations
  4. 4Quality of Care for Patients With Acute Coronary Syndromes as a Function of Hospital Revascularization Capability: Insights From Get With The Guidelines‐<scp>CAD</scp>2014 · 18 citations
  5. 5Global Variation in Quality of Care Among Patients Hospitalized With Acute Heart Failure in an International Trial2013 · 28 citations