Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/36074
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Bosmans, Sara | - |
dc.contributor.author | Sluyts, Yasmine | - |
dc.contributor.author | Silva-Van Acker, Jonas Lysens De Oliveira E. | - |
dc.contributor.author | Van Caenegem, Olivier | - |
dc.contributor.author | Sinnaeve, Peter R. | - |
dc.contributor.author | Dubois, Philippe | - |
dc.contributor.author | VRANCKX, Pascal | - |
dc.contributor.author | Gevaert, Sofie | - |
dc.contributor.author | Coussement, Patrick | - |
dc.contributor.author | Beauloye, Christophe | - |
dc.contributor.author | Evrard, Patrick | - |
dc.contributor.author | Argacha, Jean-Francois | - |
dc.contributor.author | De Raedt, Herbert | - |
dc.contributor.author | Wouters, Kristien | - |
dc.contributor.author | Claeys, Marc J. | - |
dc.date.accessioned | 2021-12-07T12:02:27Z | - |
dc.date.available | 2021-12-07T12:02:27Z | - |
dc.date.issued | 2021 | - |
dc.date.submitted | 2021-12-07T09:08:33Z | - |
dc.identifier.citation | European heart journal. Quality of care & clinical outcomes, 7 (6), p. 601-607 | - |
dc.identifier.issn | 2058-5225 | - |
dc.identifier.uri | http://hdl.handle.net/1942/36074 | - |
dc.description.abstract | Aims To assess the adherence to established quality indicators (QIs) for ST-elevation myocardial infarction (STEMI) at the hospital-network level and its relation to outcome. Methods and results The data of 7774 STEMI patients admitted to 32 STEMI networks during the period 2014-18 were extracted from the Belgian STEMI database. Five QIs [primary percutaneous coronary intervention use, diagnosis-to-balloon time (DiaTB) <90min, door-to-balloon time (DoTB) <60 min, P2Y12 inhibitor and statin prescription at discharge, and a composite QI score ranging from 0 to 10] were correlated with in-hospital mortality adjusted for differences in baseline risk profile (TIMI risk score). The median composite QI score was 6.5 [interquartile range (IQR) 6-8]. The most important gaps in quality adherence were related to time delays: the recommended DiaTB and DoTB times across the different networks were achieved in 68% (IQR 53-71) and 67% (IQR 50-78), respectively. Quality adherence was better in networks taking care of more high-risk STEMI patients. The median in-hospital mortality among the STEMI networks was 6.4% (IQR 4.1-7.9%). There was a significant independent inverse correlation between the composite QI score and in-hospital mortality (partial correlation coefficient: -0.45, P=0.013). Stepwise regression analysis revealed that among the individual QIs, prolonged DiaTB was the most important independent outcome predictor. Conclusion Among established STEMI networks, the time delay between diagnosis and treatment was the most variable and the most relevant prognostic QI, underscoring the importance of assessing quality of care throughout the whole network. | - |
dc.description.sponsorship | Belgian government | - |
dc.language.iso | en | - |
dc.publisher | OXFORD UNIV PRESS | - |
dc.subject.other | Quality indicator; STEMI; Primary PCI | - |
dc.title | Adherence to quality indicators for ST-elevation myocardial infarction and its relation to mortality: a hospital network analysis from the Belgian STEMI database | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 607 | - |
dc.identifier.issue | 6 | - |
dc.identifier.spage | 601 | - |
dc.identifier.volume | 7 | - |
local.format.pages | 7 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Claeys, MJ (corresponding author), Univ Hosp Antwerp, Dept Cardiol, Wilrijkstr 10, B-2650 Edegem, Belgium. | - |
dc.description.notes | marc.claeys@uantwerpen.be | - |
local.publisher.place | GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.identifier.doi | 10.1093/ehjqcco/qcaa067 | - |
dc.identifier.isi | WOS:000715855700013 | - |
dc.contributor.orcid | Jean-Francois, Argacha/0000-0003-4389-2865; Gevaert, | - |
dc.contributor.orcid | Sofie/0000-0002-8721-3003 | - |
dc.identifier.eissn | 2058-1742 | - |
local.provider.type | wosris | - |
local.description.affiliation | [Bosmans, Sara; Sluyts, Yasmine; Silva-Van Acker, Jonas Lysens De Oliveira E.; Claeys, Marc J.] Univ Hosp Antwerp, Dept Cardiol, Wilrijkstr 10, B-2650 Edegem, Belgium. | - |
local.description.affiliation | [Van Caenegem, Olivier; Beauloye, Christophe] UCL Louvain, Dept Cardiol, Louvain, Belgium. | - |
local.description.affiliation | [Sinnaeve, Peter R.] UZ Leuven, Dept Cardiol, Ottignies, Belgium. | - |
local.description.affiliation | [Dubois, Philippe] CHU Charleroi, Dept Cardiol, Charleroi, Belgium. | - |
local.description.affiliation | [Vranckx, Pascal] Virga Jesse Hasselt, Dept Cardiol, Hasselt, Belgium. | - |
local.description.affiliation | [Gevaert, Sofie] UZ Gent, Dept Cardiol, Ghent, Belgium. | - |
local.description.affiliation | [Coussement, Patrick] AZ Brugge, Dept Cardiol, Brugge, Belgium. | - |
local.description.affiliation | [Evrard, Patrick] UCL Mt Godinne, Dept Intens Care, Mt Godinne, Belgium. | - |
local.description.affiliation | [Argacha, Jean-Francois] UZ Brussels, Dept Cardiol, Jette, Belgium. | - |
local.description.affiliation | [De Raedt, Herbert] OLV Aalst, Dept Cardiol, Aalst, Belgium. | - |
local.description.affiliation | [Wouters, Kristien] Univ Antwerp, Antwerp Univ Hosp, Clin Trial Ctr CTC, CRC Antwerp, Antwerp, Belgium. | - |
local.uhasselt.international | no | - |
item.accessRights | Closed Access | - |
item.contributor | Bosmans, Sara | - |
item.contributor | Sluyts, Yasmine | - |
item.contributor | Silva-Van Acker, Jonas Lysens De Oliveira E. | - |
item.contributor | Van Caenegem, Olivier | - |
item.contributor | Sinnaeve, Peter R. | - |
item.contributor | Dubois, Philippe | - |
item.contributor | VRANCKX, Pascal | - |
item.contributor | Gevaert, Sofie | - |
item.contributor | Coussement, Patrick | - |
item.contributor | Beauloye, Christophe | - |
item.contributor | Evrard, Patrick | - |
item.contributor | Argacha, Jean-Francois | - |
item.contributor | De Raedt, Herbert | - |
item.contributor | Wouters, Kristien | - |
item.contributor | Claeys, Marc J. | - |
item.fullcitation | Bosmans, Sara; Sluyts, Yasmine; Silva-Van Acker, Jonas Lysens De Oliveira E.; Van Caenegem, Olivier; Sinnaeve, Peter R.; Dubois, Philippe; VRANCKX, Pascal; Gevaert, Sofie; Coussement, Patrick; Beauloye, Christophe; Evrard, Patrick; Argacha, Jean-Francois; De Raedt, Herbert; Wouters, Kristien & Claeys, Marc J. (2021) Adherence to quality indicators for ST-elevation myocardial infarction and its relation to mortality: a hospital network analysis from the Belgian STEMI database. In: European heart journal. Quality of care & clinical outcomes, 7 (6), p. 601-607. | - |
item.fulltext | No Fulltext | - |
crisitem.journal.issn | 2058-5225 | - |
crisitem.journal.eissn | 2058-1742 | - |
Appears in Collections: | Research publications |
WEB OF SCIENCETM
Citations
1
checked on May 24, 2024
Page view(s)
62
checked on Jun 28, 2023
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.