Cardiovascular Care Facts Article

Full Text via DOI: 10.1016/j.jacc.2013.05.099 PMID: 24036027 Web of Science: 000326939500006

Cited authors

  • Masoudi, Frederick A.; Ponirakis, Angelo; Yeh, Robert W.; Maddox, Thomas M.; Beachy, Jim; Casale, Paul N.; Curtis, Jeptha P.; De Lemos, James; Fonarow, Gregg; Heidenreich, Paul; Koutras, Christina; Kremers, Mark; Messenger, John; Moussa, Issam; Oetgen, William J.; Roe, Matthew T.; Rosenfield, Kenneth; Shields, Thomas P., Jr.; Spertus, John A.; Wei, Jessica; White, Christopher; Young, Christopher H.; Rumsfeld, John S.

Abstract

  • Objectives The aim of this report was to characterize the patients, participating centers, and measures of quality of care and outcomes for 5 NCDR (National Cardiovascular Data Registry) programs: 1) ACTION (Acute Coronary Treatment and Intervention Outcomes Network) Registry-GWTG (Get With The Guidelines) for acute coronary syndromes; 2) CathPCI Registry for coronary angiography and percutaneous coronary intervention; 3) CARE (Carotid Artery Revascularization and Endarterectomy) Registry for carotid revascularization; 4) ICD Registry for implantable cardioverter defibrillators; and the 5) PINNACLE (Practice INNovation And CLinical Excellence) Registry for outpatients with cardiovascular disease (CVD).; Background CVD is a leading cause of death and disability in the United States. The quality of care for patients with CVD is suboptimal. National registry programs, such as NCDR, permit assessments of the quality of care and outcomes for broad populations of patients with CVD.; Methods For the year 2011, we assessed for each of the 5 NCDR programs: 1) demographic and clinical characteristics of enrolled patients; 2) key characteristics of participating centers; 3) measures of processes of care; and 4) patient outcomes. For selected variables, we assessed trends over time.; Results In 2011 ACTION Registry-GWTG enrolled 119,967 patients in 567 hospitals; CathPCI enrolled 632,557 patients in 1,337 hospitals; CARE enrolled 4,934 patients in 130 hospitals; ICD enrolled 139,991 patients in 1,435 hospitals; and PINNACLE enrolled 249,198 patients (1,436,328 individual encounters) in 74 practices (1,222 individual providers). Data on performance metrics and outcomes, in some cases risk-adjusted with validated NCDR models, are presented.; Conclusions The NCDR provides a unique opportunity to understand the characteristics of large populations of patients with CVD, the centers that provide their care, quality of care provided, and important patient outcomes. (C) 2013 by the American College of Cardiology Foundation

Authors

Publication date

  • 2013

Published in

International Standard Serial Number (ISSN)

  • 0735-1097

Start page

  • 1931

End page

  • 1947

Volume

  • 62

Issue

  • 21