Key result
A performance improvement initiative increased guideline-recommended cardiac resynchronization therapy utilization from 49.3% at baseline to 85% at 24 months (absolute increase 35.7%, P<0.001).
Why the study?
Does a performance improvement initiative increase guideline-recommended CRT utilization in eligible heart failure patients?
Population
440 patients with reduced left ventricular ejection fraction and chronic heart failure who met eligibility…
Comparison
Performance improvement initiative (IMPROVE HF) vs Baseline (pre-initiative) utilization
Design
Cohort
Follow-up
24 months
Authors
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Performance improvement initiatives may raise CRT use in eligible HF patients; leaves open causal effects and outcome impact in randomized trials.
Observational (n=440)
Yes
Does a performance improvement initiative increase guideline-recommended CRT utilization in eligible heart failure patients?
Effect estimate: Absolute increase 35.7%
Absolute Event Rate: 85% vs 49.3%
p-value: p=< 0.001
A performance improvement initiative significantly increased guideline-recommended CRT utilization and reduced practice variability across cardiology and multispecialty practices.
Shukla et al. (2013) conducted an observational in Heart failure (n=440). Performance improvement initiative vs. Baseline was evaluated on Utilization of cardiac resynchronization therapy (CRT) (Absolute increase 35.7%, p=< 0.001). A performance improvement initiative increased guideline-recommended cardiac resynchronization therapy utilization from 49.3% at baseline to 85% at 24 months (absolute increase 35.7%, P<0.001).
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