Key result
Clinical decision support is linked to a ~27% increase in post-AMI cardiac rehabilitation referrals.
Why the study?
Inadequate referral to cardiac rehabilitation (CR) is a major barrier to CR participation, prompting investigation into whether a clinical decision support tool could improve referral for patients hospitalized with AMI.
Does a clinical decision support tool improve cardiac rehabilitation referral rates in patients hospitalized with acute myocardial infarction?
Population
1985 patients admitted with acute MI at an academic medical center
Comparison
CDS tool implementation vs pre-CDS tool practice
Design
Interrupted time series analysis
Authors
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May support CDS tools to boost CR referrals in AMI; hypothesis-generating and requires RCTs before practice change.
Observational (n=1,985)
No
Does a clinical decision support tool improve cardiac rehabilitation referral rates in patients hospitalized with acute myocardial infarction?
Absolute Event Rate: 94% vs 74%
p-value: p=<.01
Implementation of an automated clinical decision support tool significantly increased cardiac rehabilitation referral rates for patients hospitalized with acute myocardial infarction.
Nowatzke et al. (2024) conducted an observational in Acute myocardial infarction (AMI) (n=1,985). Clinical decision support (CDS) tool vs. Prior to CDS implementation (historical control) was evaluated on Cardiac rehabilitation (CR) referral rate (p=<.01). Implementation of a clinical decision support tool significantly increased cardiac rehabilitation referral rates for patients hospitalized with acute myocardial infarction from 74% to 94% (P < .01).
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