Key result
Implementation of a critical pathways-based management program for acute coronary syndromes reduced recurrent angina symptoms from 28.5% to 13% (p=0.02) and nonfatal MI from 15% to 5% (p=0.03).
Why the study?
Does a critical pathways-based management program improve guideline compliance and clinical outcomes in patients admitted for acute coronary syndromes?
Population
Patients admitted for acute coronary syndromes
Comparison
Advanced Cardiac Admission Program, a… vs Conventional treatment before ACAP implementation
Design
Cohort
Follow-up
1-year
Authors
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May support pathways in ACS; hypothesis-generating without randomized confirmation.
Cohort
No
Does a critical pathways-based management program improve guideline compliance and clinical outcomes in patients admitted for acute coronary syndromes?
Absolute Event Rate: 13% vs 28.5%
p-value: p=0.02
Implementation of a critical pathways-based management program for acute coronary syndromes significantly improves adherence to guideline-directed medical therapy and reduces recurrent angina and nonfatal myocardial infarction at 1 year.
Aziz et al. (2011) conducted a cohort in Acute coronary syndromes. Advanced Cardiac Admission Program (ACAP) critical pathways-based management vs. Conventional treatment before ACAP implementation was evaluated on Recurrent angina symptoms (p=0.02). Implementation of a critical pathways-based management program for acute coronary syndromes reduced recurrent angina symptoms from 28.5% to 13% (p=0.02) and nonfatal MI from 15% to 5% (p=0.03).
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