Hospital revascularisation capability and quality of care after an acute coronary syndrome in Switzerland.

Détails

Ressource 1Télécharger: BIB_50B9CB9EAC3D.P001.pdf (688.55 [Ko])
Etat: Serval
Version: de l'auteur
ID Serval
serval:BIB_50B9CB9EAC3D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Hospital revascularisation capability and quality of care after an acute coronary syndrome in Switzerland.
Périodique
Swiss Medical Weekly
Auteur(s)
Welker J., Auer R., Gencer B., Muller O., Cornuz J., Matter C.M., Mach F., Windecker S., Rodondi N., Nanchen D.
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
146
Pages
w14275
Langue
anglais
Résumé
BACKGROUND: Patients with acute coronary syndrome (ACS) transferred to regional nonacademic hospitals after percutaneous coronary intervention (PCI) may receive fewer preventive interventions than patients who remain in university hospitals. We aimed at comparing hospitals with and without PCI facilities regarding guidelines-recommended secondary prevention interventions after an ACS.
METHODS: We studied patients with ACS admitted to a university hospital with PCI facilities in Switzerland, and either transferred within 48 hours to regional nonacademic hospitals without PCI facilities or directly discharged from the university hospital. We measured prescription rates of evidence-based recommended therapies after ACS including reasons for nonprescription of aspirin, statins, β-blockers, angiotensin converting-enzyme inhibitors (ACEI) / angiotensin II receptor blockers (ARB), along with cardiac rehabilitation attendance and delivery of a smoking cessation intervention.
RESULTS: Overall, 720 patients with ACS were enrolled; 541 (75.1%) were discharged from the hospital with PCI facilities, 179 (24.9%) were transferred to hospitals without PCI facilities. Concomitant prescription of aspirin, β-blockers, ACEI/ARB and statins at discharge was similar in hospitals with and without PCI facilities, reaching 83.9% and 85.5%, respectively (p = 0.62). Attendance at cardiac rehabilitation reached 55.5% for the hospital with PCI facilities and 65.7% for hospitals without PCI facilities (p = 0.02). In-hospital smoking cessation interventions were delivered to 70.8% patients exclusively at the hospital with PCI facilities.
CONCLUSION: Quality of care for patients with ACS discharged from hospitals without PCI facilities was similar to that of patients directly discharged from the hospital with PCI facilities, except for in-hospital smoking cessation counselling and cardiac rehabilitation attendance.
Pubmed
Web of science
Open Access
Oui
Création de la notice
20/02/2016 16:33
Dernière modification de la notice
08/05/2019 18:32
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