Key result
Hospital accreditation in the National Chest Pain Centers Program was associated with reduced sex-related disparities in in-hospital heart failure (OR 0.90; 95% CI 0.86-0.94).
Why the study?
Sex disparities in the management and outcomes of acute coronary syndrome have received increasing attention, but the association of a quality improvement program with these disparities was unknown.
Does hospital participation in the National Chest Pain Centers Program reduce sex disparities in management and outcomes in patients with acute coronary syndrome?
Population
1 095 899 patients with ACS from 989 hospitals in China
Comparison
Hospital participation in the National Chest Pain Centers Program vs non-participation
Design
Nationwide longitudinal analysis of annual cross-sectional data
Authors
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Accreditation may narrow sex disparities in ACS care; leaves open whether program participation causally improves equity beyond this cross-sectional analysis.
Cross-Sectional (n=1,095,899)
Yes
Does hospital participation in the National Chest Pain Centers Program reduce sex disparities in management and outcomes in patients with acute coronary syndrome?
Odds Ratio: 0.9 (95% CI 0.86–0.94)
A nationwide quality improvement program in China was associated with reduced sex disparities in prehospital delays, reperfusion rates, and in-hospital heart failure among patients with acute coronary syndrome.
Zhou et al. (2023) conducted a cross-sectional in Acute Coronary Syndrome (n=1,095,899). Hospital participation in the National Chest Pain Centers Program vs. Pre-accreditation was evaluated on Sex-related differences in the rate of in-hospital heart failure (OR 0.90, 95% CI 0.86-0.94). Hospital accreditation in the National Chest Pain Centers Program was associated with reduced sex-related disparities in in-hospital heart failure (OR 0.90; 95% CI 0.86-0.94).
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