Hospital case volume and appropriate prescriptions at hospital discharge after acute myocardial infarction: a nationwide assessment

Source: Circulation: Cardiovascular Quality and Outcomes Area: Evidence > Medicines Management > References Background: In acute myocardial infarction, the relationship between volume and quality indicators (QIs) is poorly documented.  Through a nationwide assessment of QIs at discharge repeated for 3 years, we aimed to quantify the relationship between volume and QIs in survivors after acute myocardial infarction. Methods and Results: Almost all healthcare centres in France participated.  Medical records were randomly selected.  Data collection was performed by an independent group.  QIs for acute myocardial infarction were defined by an expert consensus group as appropriate prescription at discharge of aspirin, clopidogrel, beta-blocker, statin and an ACE inhibitor in patients with left ventricular ejection fraction below 0.40.  A composite QI was calculated through the use of the all-or-none method.  Volume was classified into 7 categories based on the number of admissions for acute myocardial infarctions in 2008 (centres with fewer than 10 acute ...
Source: NeLM - Cardiovascular Medicine - Category: Cardiology Source Type: news