Schiele, F, Gale, CP orcid.org/0000-0003-4732-382X, Simon, T et al. (8 more authors) (2017) Assessment of Quality Indicators for Acute Myocardial Infarction in the FAST-MI (French Registry of Acute ST-Elevation or Non–ST-Elevation Myocardial Infarction) Registries. Circulation: Cardiovascular Quality and Outcomes, 10 (6). e003336. ISSN 1941-7705
Abstract
Background: The Acute Cardiovascular Care Association defined quality indicators (QIs) for the management of acute myocardial infarction. The application of these QIs to existing databases is appealing. It remains to be determined what the rates of implementation are, how the QIs are related to long-term survival, and whether quality categorization is possible.
Methods and Results: The QIs were extracted from the French nationwide registries French Registry of Acute ST-Elevation or Non–ST-Elevation Myocardial Infarction (FAST-MI) 2005 (n=3670) and FAST-MI 2010 (n=4169). Implementation rates for each QI are reported for both cohorts. The composite QI was used for benchmarking, and the relationship between QIs and 3-year survival was determined using a Cox model. In FAST-MI 2010, 12 individual and 2 composite QIs could be assessed. Four QIs were not recorded in FAST-MI 2010 and 4 in 2005, either because of treatment nonavailability or because of data not recorded. The degree of implementation ranged from 12% to 89%, with higher rates in 2010 as compared with 2005. Seven individual QIs were associated with survival, and there was a significant and gradual association between survival and categories of the composite QI. Center categorization was possible in 26% to 30% of participating centers; 16 (27%) centers in 2005 and 14 (20%) in 2010 were categorized as low quality.
Conclusions: Twelve of 17 individual QIs could be assessed from FAST-MI 2010. The composite QI was significantly associated with 3-year survival and distinguished centers with high, average, and low quality of care.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2017 American Heart Association, Inc. This is an author produced version of a paper published in Circulation: Cardiovascular Quality and Outcomes. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | acute myocardial infarction; hospital; mortality; quality indicators; quality of care |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Cardiovascular and Metabolic Medicine (LICAMM) > Clinical & Population Science Dept (Leeds) |
Funding Information: | Funder Grant number British Heart Foundation PG/13/81/30474 |
Depositing User: | Symplectic Publications |
Date Deposited: | 05 Nov 2018 13:49 |
Last Modified: | 04 Feb 2019 08:57 |
Status: | Published |
Publisher: | American Heart Association |
Identification Number: | 10.1161/CIRCOUTCOMES.116.003336 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:138138 |