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March 1, 2014Circulation Cardiovascular Quality and OutcomesOpen Access

Hospital Quality Improvement Initiative for Patients With Acute Coronary Syndromes in China

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Why the study?

Does the implementation of AHA/ACC guideline-based clinical pathways improve key performance indicators for the management of acute coronary syndromes in Chinese hospitals?

Population

75 level 2 or level 3 hospitals in China routinely admitting >100 patients with acute coronary syndromes per…

Comparison

Immediate implementation of American Heart… vs Usual care

Design

RCT, Cluster randomized

Follow-up

12 months

Authors

XDXin DuFTFiona TurnbullYWYangfeng Wu

Discussion

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Member takes

Overview

Supports ACS pathway adoption in Chinese hospitals to boost discharge therapy; extends RCT evidence but leaves other KPIs unaddressed.

Structured PICO

Does the implementation of AHA/ACC guideline-based clinical pathways improve key performance indicators for the management of acute coronary syndromes in Chinese hospitals?

P
Population
75 level 2 or level 3 hospitals in China routinely admitting >100 patients with acute coronary syndromes (ACS) per year, with data collected from 50 consecutive patients in each hospital
I
Intervention
Immediate implementation of American Heart Association/American College of Cardiology guideline-based clinical pathways
C
Comparator
Usual care (commencement of the intervention 12 months later)
O
Outcome
Several key performance indicators reflecting the management of ACS, measured 12 months after commencement

Implementation of guideline-based clinical pathways for ACS in Chinese hospitals improved rates of appropriate secondary prevention medical therapy at discharge, though it had limited impact on other performance metrics.

Cite This Study

Du et al. (2014) studied this question.

synapsesocial.com/papers/6a90ded1b24842dac47a6778https://doi.org/10.1161/circoutcomes.113.000526
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Also Consider

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

  1. 1Management and outcomes of patients with acute coronary syndromes in Australia and New Zealand, 2000–20072011 · 41 citations
  2. 2ACC/AHA Guidelines for the Management of Patients With Unstable Angina and Non–ST-Segment Elevation Myocardial Infarction: Executive Summary and Recommendations2000 · 4,501 citations
  3. 3Developing and evaluating complex interventions: the new Medical Research Council guidance2008 · 11,471 citations
  4. 4Clinical Pathways for Acute Coronary Syndromes in China2010 · 17 citations
  5. 5Effect of a Multifaceted Intervention on Use of Evidence-Based Therapies in Patients With Acute Coronary Syndromes in Brazil2012 · 116 citations