International Comparison of Quality Indicators for Adults Hospitalized for Heart Failure: A Systematic Review

被引：0
|
作者：
Acevedo, Giliana Garcia [1 ,2 ]
Ahmad, Aisha [1 ,2 ,3 ]
Stall, Benjamin [1 ,2 ]
Mokhtarnia, Media [1 ,2 ,4 ]
Lapp, John M. [1 ,2 ,5 ]
Verma, Amol A. [6 ,10 ]
Ebrahim, Jalal [7 ,11 ]
Van Spall, Harriette G. C. [12 ,13 ]
Razak, Fahad [6 ,14 ]
Isenberg, Sarina R. [8 ,15 ,16 ,17 ]
Etchells, Edward [6 ,18 ,19 ,20 ,21 ]
Mak, Susanna [1 ,2 ,9 ]
Steinberg, Leah [22 ,23 ]
Ko, Dennis T. [19 ,21 ,24 ]
Poon, Stephanie [9 ,25 ,26 ]
Quinn, Kieran L. [1 ,2 ,6 ]
机构：
[1] Sinai Hlth, Temmy Latner Ctr Palliat Care, Dept Med, Div Internal Med, Toronto, ON, Canada
[2] Sinai Hlth, Dept Med, Temmy Latner Ctr Palliat Care, Div Palliat Care, Toronto, ON, Canada
[3] McMaster Univ, Hamilton, ON, Canada
[4] Queens Univ, Kingston, ON, Canada
[5] Northern Ontario Sch Med, Sudbury, ON, Canada
[6] Univ Toronto, Dept Chem Engn, Toronto, ON M5S 3E5, Canada
[7] Univ Toronto, Dept Med, Div Neurol, Toronto, ON, Canada
[8] Univ Toronto, Fac Med, Toronto, ON, Canada
[9] Univ Toronto, Dept Med, Div Cardiol, Toronto, ON, Canada
[10] Unity Hlth Toronto, St Michaels Hosp, Div Gen Internal Med, Toronto, ON, Canada
[11] Univ Hlth Network, Toronto Western Hosp, Toronto, ON, Canada
[12] McMaster Univ, Dept Med, Div Cardiol, Hamilton, ON, Canada
[13] Hamilton Hlth Sci, Hamilton, ON, Canada
[14] Unity Hlth Toronto, St Michaels Hosp, Li Ka Shing Knowledge Inst, Toronto, ON, Canada
[15] Bruyere Res Inst, Ottawa, ON, Canada
[16] Univ Ottawa, Sch Epidemiol & Publ Hlth, Dept Med, Ottawa, ON, Canada
[17] HANDLS, Baltimore, MD USA
[18] Sunnybrook Hlth Sci Ctr, Div Gen Internal Med, Dept Med, Toronto, ON, Canada
[19] Sunnybrook Res Inst, Toronto, ON, Canada
[20] Womens Coll Hosp, Toronto, ON, Canada
[21] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada
[22] Sinai Hlth Syst, Div Palliat Care, Toronto, ON, Canada
[23] Sinai Hlth Syst, Temmy Latner Ctr Palliat Care, Dept Family Med, Toronto, ON, Canada
[24] Int Credential Evaluat Serv, Guelph, ON, Canada
[25] Canadian Cardiovasc Soc, Ottawa, ON, Canada
[26] Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada
来源：
CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES | 2024年 / 17卷 / 11期
关键词：
aftercare; evidence gaps; heart failure; quality indicators; health care; stroke volume; REDUCED EJECTION FRACTION; PERFORMANCE-MEASURES; CLINICAL-OUTCOMES; AMERICAN-COLLEGE; ASSOCIATION; GUIDELINE; CARE; PREVENTION; MANAGEMENT; CARDIOLOGY;
D O I：
10.1161/CIRCOUTCOMES.123.010629
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
BACKGROUND:There is limited international agreement on defining care quality for the millions of people hospitalized with heart failure worldwide. Our objective was to compare and measure agreement across existing internationally published quality indicators (QIs) for the care of adults hospitalized for heart failure.METHODS:Systematic review and evidence gap map of internationally published articles reporting on QIs for adults hospitalized for heart failure, using PubMed, MEDLINE, EMBASE, and TRIP from inception to July 18, 2022. Narrative synthesis and descriptive statistics characterized included articles and QIs using the Donabedian Framework of Structural, Process, and Outcomes. The methodological quality of QI sets was assessed using the Appraisal of Indicators through Research and Evaluation instrument. Agreement about QIs was defined as having at least 3 different cardiovascular societies recommend its use. An evidence gap map displayed each QI according to its clinically relevant category, methodological quality, and reporting articles.RESULTS:Fourteen articles from 11 societies reported 75 unique QIs; 53 QIs were process, 16 were structural, and 7 were outcome measures. There was limited agreement on individual QIs across sets as a minority were recommended by >= 3 societies (12%; 9/75 QIs). The most common QIs included postdischarge follow-up (73%, 8/11 societies), specific pharmacotherapy (64%, 7/11 societies), patient education (45%, 5/11 societies), assessment of left ventricular ejection fraction (45%, 5/11 societies), 30-day readmission rate (45%, 5/11 societies), cardiac rehabilitation (36%, 4/11 societies), and multidisciplinary management (27%, 3/11 societies).CONCLUSIONS:There was little agreement on defining high-quality care and limited agreement on measures including postdischarge follow-up, specific pharmacotherapies, patient education, assessment of left ventricular ejection fraction, 30-day readmission, cardiac rehabilitation, and multidisciplinary management. These measures may define high-quality care and highlight opportunities to improve the quality of care for adults hospitalized for heart failure.
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页数：9
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