Key result
Electronic data feedback linked to a ~24% increase in thrombolysis within two hours.
Why the study?
Improvements in care for acute coronary syndromes following introduction of an electronic data entry and feedback system were not previously described.
Does an electronic data entry and feedback system improve care metrics in patients with acute coronary syndromes?
Population
156,902 patients with acute coronary syndromes in 230 hospitals in England and Wales
Comparison
Care before vs after introduction of electronic data entry and feedback system
Design
Observational study
Authors
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Supports electronic feedback for timely thrombolysis in ACS; hypothesis-generating and should not yet change practice without randomized confirmation.
Observational (n=156,902)
Yes
Does an electronic data entry and feedback system improve care metrics in patients with acute coronary syndromes?
Effect estimate: difference of 7.8 percentage points
Absolute Event Rate: 40.3% vs 32.5%
p-value: p=<0.0001
The implementation of a national electronic audit and feedback system was associated with significant improvements in treatment times and secondary prevention prescribing for acute coronary syndromes.
John Birkhead (2004) conducted an observational in Acute coronary syndromes (n=156,902). Electronic data entry and analysis system providing contemporary feedback vs. Baseline (first year of the study) was evaluated on Proportion of patients receiving thrombolytic treatment within two hours of onset of symptoms (difference of 7.8 percentage points, p=<0.0001). An electronic data entry and feedback system increased the proportion of patients receiving thrombolytic treatment within two hours of symptom onset from 32.5% to 40.3% (p<0.0001).
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