Temporal Trends for Secondary Prevention Measures Among Patients Hospitalized with Coronary Artery Disease

被引：30

作者：

Kumbhani, Dharam J. ^{[1
]}

Fonarow, Gregg C. ^{[2
]}

Cannon, Christopher P. ^{[3
,4
]}

Hernandez, Adrian F. ^{[5
]}

Peterson, Eric D. ^{[5
]}

Peacock, W. Frank ^{[6
]}

Laskey, Warren K. ^{[7
]}

Deedwania, Prakash ^{[8
]}

Grau-Sepulveda, Maria ^{[5
]}

Schwamm, Lee H. ^{[9
]}

Bhatt, Deepak L. ^{[3
,4
]}

机构：

[1] Univ Texas SW Med Ctr Dallas, Div Cardiol, Dallas, TX 75390 USA

[2] Univ Calif Los Angeles, Div Cardiol, Ahmanson UCLA Cardiomyopathy Ctr, Los Angeles, CA USA

[3] Brigham & Womens Hosp, Heart & Vasc Ctr, Boston, MA 02115 USA

[4] Harvard Univ, Sch Med, Boston, MA USA

[5] Duke Univ, Med Ctr, Duke Clin Res Inst, Durham, NC USA

[6] Baylor Coll Med, Emergency Med, Houston, TX 77030 USA

[7] Univ New Mexico, Div Cardiol, Albuquerque, NM 87131 USA

[8] Univ Calif San Francisco, Div Cardiol, San Francisco, CA USA

[9] Massachusetts Gen Hosp, Dept Neurol, Boston, MA 02114 USA

来源：

AMERICAN JOURNAL OF MEDICINE | 2015年 / 128卷 / 04期

关键词：

Angioplasty; Bypass; Coronary Disease; Registries; Surgery; ASSOCIATION TASK-FORCE; QUALITY-OF-CARE; HEART-ASSOCIATION; MYOCARDIAL-INFARCTION; PERFORMANCE-MEASURES; BYPASS SURGERY; GUIDELINES; OUTCOMES; MEDICATIONS; SPECIALTY;

D O I：

10.1016/j.amjmed.2014.11.013

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND: Prior studies have noted that in-hospital adherence to secondary prevention measures varied among patients undergoing coronary artery bypass graft surgery, percutaneous coronary revascularization, or no intervention. We sought to study contemporary temporal trends in the in-hospital management of patients with coronary artery disease. METHODS: By using data from the Get With The Guidelines-Coronary Artery Disease registry, we compared adherence to 6 performance measures (aspirin within 24 hours, discharge on aspirin, discharge on beta-blockers, patients with low ejection fraction discharged on angiotensin-converting enzyme inhibitor/angiotensin receptor blocker, smoking cessation counseling, and use of lipid-lowering medications) in eligible patients with coronary artery disease who underwent coronary artery bypass graft surgery, percutaneous coronary intervention, or no intervention between 2003 and 2008. RESULTS: A total of 113,971 patients with coronary artery disease were treated at 193 hospitals. Overall adherence to all 6 quality of care measures improved over time in all 3 treatment groups, but was highest at all time periods in the percutaneous coronary intervention group compared with the coronary artery bypass graft surgery group, whereas the no intervention group had the lowest use of prevention measures at all time points (P < .0001). Likewise, 100% adherence to all 6 measures was superior in the percutaneous coronary intervention group at all time points (P < .0001). On multivariable adjustment for case-mix of patients, the majority of these differences persisted. CONCLUSIONS: Over the last decade, overall adherence with secondary prevention measures improved significantly in patients hospitalized with coronary artery disease regardless of revascularization strategy. However, there still exist select opportunities for improving adherence, particularly among patients undergoing coronary artery bypass graft surgery or no intervention. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：426.e1 / 426.e9

页数：9

共 31 条

[1]

[Anonymous], CTR MED MED SERV CMS

[2] Utilization of early invasive management strategies for high-risk patients with non-ST-segment elevation acute coronary syndromes - Results from the CRUSADE quality improvement initiative [J].

Bhatt, DL ;

Roe, MT ;

Peterson, ED ;

Li, Y ;

Chen, AY ;

Harrington, RA ;

Greenbaum, AB ;

Berger, PB ;

Cannon, CP ;

Cohen, DJ ;

Gibson, CM ;

Saucedo, JF ;

Kleiman, NS ;

Hochman, JS ;

Boden, WE ;

Brindis, RG ;

Peacock, WF ;

Smith, SC ;

Pollack, CV ;

Gibler, WB ;

Ohman, EM .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 292 (17) :2096-2104

[3] Beta-blocker use and outcomes among hospitalized heart failure patients [J].

Butler, J ;

Young, JB ;

Abraham, WT ;

Bourge, RC ;

Adams, KF ;

Clare, R ;

O'Connor, C .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2006, 47 (12) :2462-2469

[4] Comparison of Composite Measure Methodologies for Rewarding Quality of Care An Analysis From the American Heart Association's Get With The Guidelines Program [J].

Eapen, Zubin J. ;

Fonarow, Gregg C. ;

Dai, David ;

O'Brien, Sean M. ;

Schwamm, Lee H. ;

Cannon, Christopher P. ;

Heidenreich, Paul A. ;

Bhatt, Deepak L. ;

Peterson, Eric D. ;

Hernandez, Adrian F. .

CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES, 2011, 4 (06) :610-618

[5] Patterns of secondary prevention in older patients undergoing coronary artery bypass grafting during hospitalization for acute myocardial infarction [J].

Foody, JM ;

Ferdinand, FD ;

Galusha, D ;

Rathore, SS ;

Masoudi, FA ;

Havranek, EP ;

Nilasena, D ;

Radford, MJ ;

Krumholz, HM .

CIRCULATION, 2003, 108 (10) :24-28

[6] A systematic review of the effects of physician specialty on the treatment of coronary disease and heart failure in the United States [J].

Go, AS ;

Rao, RK ;

Dauterman, KW ;

Massie, BM .

AMERICAN JOURNAL OF MEDICINE, 2000, 108 (03) :216-226

[7] Atherosclerosis secondary prevention performance measures after coronary bypass graft surgery compared with percutaneous catheter intervention and nonintervention patients in the get with the guidelines database [J].

Hiratzka, Loren F. ;

Eagle, Kim A. ;

Liang, Li ;

Fonarow, Gregg C. ;

LaBresh, Kenneth A. ;

Peterson, Eric D. .

CIRCULATION, 2007, 116 (11) :I207-I212

[8] Use of Medications for Secondary Prevention After Coronary Bypass Surgery Compared With Percutaneous Coronary Intervention [J].

Hlatky, Mark A. ;

Solomon, Matthew D. ;

Shilane, David ;

Leong, Thomas K. ;

Brindis, Ralph ;

Go, Alan S. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2013, 61 (03) :295-301

[9] Medication Adherence Its Importance in Cardiovascular Outcomes [J].

Ho, P. Michael ;

Bryson, Chris L. ;

Rumsfeld, John S. .

CIRCULATION, 2009, 119 (23) :3028-3035

[10] 2012 ACCF/AHA Focused Update of the Guideline for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction (Updating the 2007 Guideline and Replacing the 2011 Focused Update) A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration With the American College of Emergency Physicians, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons [J].

Jneid, Hani ;

Anderson, Jeffrey L. ;

Wright, R. Scott ;

Adams, Cynthia D. ;

Bridges, Charles R. ;

Casey, Donald E., Jr. ;

Ettinger, Steven M. ;

Fesmire, Francis M. ;

Ganiats, Theodore G. ;

Lincoff, A. Michael ;

Peterson, Eric D. ;

Philippides, George J. ;

Theroux, Pierre ;

Wenger, Nanette K. ;

Zidar, James Patrick ;

Antman, Elliott M. ;

Califf, Robert M. ;

Chavey, William E., II ;

Hochman, Judith S. ;

Levin, Thomas N. ;

Jacobs, Alice K. ;

Halperin, Jonathan L. ;

Albert, Nancy M. ;

Creager, Mark A. ;

DeMets, David ;

Guyton, Robert A. ;

Hochman, Judith S. ;

Kushner, Frederick G. ;

Ohman, E. Magnus ;

Stevenson, William G. ;

Yancy, Clyde W. .

CIRCULATION, 2012, 126 (07) :875-+

← 1 2 3 4 →