Quality of Care for Patients With Acute Coronary Syndromes as a Function of Hospital Revascularization Capability: Insights From Get With The Guidelines‐CAD
Key result
Admission to revascularization-capable hospitals was associated with higher conformity to 8 of 19 care quality measures for ACS patients, including clopidogrel use (OR 2.31; 95% CI 1.78-3.00).
Why the study?
Does admission to revascularization-capable hospitals improve conformity with performance and quality measures in acute coronary syndrome patients?
Population
95,999 acute coronary syndrome patients admitted to 310 US Get With The Guidelines-Coronary Artery Disease…
Comparison
Admission to a hospital with revascularization… vs Admission to a hospital without…
Design
Cohort
Authors
Discussion
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Member takes
Implication
Should not yet alter ACS triage decisions; leaves open whether capability causally improves outcomes.
Study Design
Type
Cohort (n=95,999)
Multicenter
Yes
Structured PICO
Does admission to revascularization-capable hospitals improve conformity with performance and quality measures in acute coronary syndrome patients?
P
Population
95,999 acute coronary syndrome patients admitted to 310 US GWTG-CAD hospitals between 2000 and 2010.
E
Exposure
Admission to a hospital with revascularization capability (n=89,000 patients at 226 hospitals)
C
Comparator
Admission to a hospital without revascularization capability (n=6,999 patients at 84 hospitals)
O
Outcome
Conformity with performance and quality measures
Admission to revascularization-capable hospitals is associated with modestly better adherence to several guideline-directed performance and quality measures for acute coronary syndrome patients.
Cite This Study
Thukkani et al. (2014) conducted a cohort in Acute coronary syndromes (n=95,999). Admission to a revascularization-capable hospital vs. Admission to a hospital without revascularization capability was evaluated on Conformity with performance and quality measures. Admission to revascularization-capable hospitals was associated with higher conformity to 8 of 19 care quality measures for ACS patients, including clopidogrel use (OR 2.31; 95% CI 1.78-3.00).