Key result
National Service Framework implementation is linked to ~33% lower in-hospital mortality in CAD.
Why the study?
The impact of the National Service Framework for coronary heart disease on emergency treatment and outcomes in patients with acute coronary syndromes was evaluated.
Does the introduction of the National Service Framework improve treatment and in-hospital mortality in patients with acute coronary syndromes?
Population
3371 patients with acute coronary syndromes admitted to coronary care units of two district general hospitals
Comparison
Care before versus after introduction of the National Service Framework for coronary heart disease
Design
Retrospective cohort study
Follow-up
In-hospital
Authors
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May support national frameworks to improve ACS outcomes; observational data leaves open causality and applicability today.
Cohort (n=3,371)
Yes
Does the introduction of the National Service Framework improve treatment and in-hospital mortality in patients with acute coronary syndromes?
Absolute Event Rate: 3.2% vs 4.8%
p-value: p=0.02
The introduction of the National Service Framework was associated with improved initial treatment and reduced in-hospital mortality for patients with acute coronary syndromes.
JE Graham (2005) conducted a cohort in Acute coronary syndromes (n=3,371). National Service Framework (NSF) for coronary heart disease vs. Before the introduction of the NSF was evaluated on In-hospital mortality (p=0.02). The introduction of the National Service Framework for coronary heart disease was associated with a significant reduction in in-hospital mortality (3.2% vs 4.8%, p=0.02).
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