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dc.contributor.authorRossello, Xavier 
dc.contributor.authorMedina, Jesús
dc.contributor.authorPocock, Stuart 
dc.contributor.authorVan de Werf, Frans
dc.contributor.authorChin, Chee Tang
dc.contributor.authorDanchin, Nicolas
dc.contributor.authorLee, Stephen W-L
dc.contributor.authorHuo, Yong
dc.contributor.authorBueno, Héctor 
dc.date.accessioned2021-04-09T06:13:50Z
dc.date.available2021-04-09T06:13:50Z
dc.date.issued2020-12-01
dc.identifier.citationEur Heart J Acute Cardiovasc Care. 2020; 9(8):911-22es_ES
dc.identifier.issn2048-8726es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/12565
dc.description.abstractThe European Society of Cardiology established a set of quality indicators for the management of acute myocardial infarction. Our aim was to evaluate their degree of attainment, prognostic value and potential use for centre benchmarking in a large international cohort. Quality indicators were extracted from the long-tErm follow-uP of antithrombotic management patterns In acute CORonary syndrome patients (EPICOR) (555 hospitals, 20 countries in Europe and Latin America, 2010-2011) and EPICOR Asia (218 hospitals, eight countries, 2011-2012) registries, including non-ST-segment elevation acute myocardial infarction (n=6558) and ST-segment elevation acute myocardial infarction (n=11,559) hospital survivors. The association between implementation rates for each quality indicator and two-year adjusted mortality was evaluated using adjusted Cox models. Composite quality indicators were categorized for benchmarking assessment at different levels. The degree of attainment of the 17 evaluated quality indicators ranged from 13% to 100%. Attainment of most individual quality indicators was associated with two-year survival. A higher compliance with composite quality indicators was associated with lower mortality at centre-, country- and region-level. Moreover, the higher the risk for two-year mortality, the lower the compliance with composite quality indicators. When EPICOR and EPICOR Asia were conducted, the European Society of Cardiology quality indicators would have been attained to a limited extent, suggesting wide room for improvement in the management of acute myocardial infarction patients. After adjustment for confounding, most quality indicators were associated with reduced two-year mortality and their prognostic value should receive further attention. The two composite quality indicators can be used as a tool for benchmarking either at centre-, country- or world region-level.es_ES
dc.description.sponsorshipCNIC is partially supported by a competitive grant from the Carlos III Institute of Health–Fondo de Investigacion Sanitaria and the European Regional Development Fund(ERDF/FEDER) (PI13/01979), the Spanish Ministry of Science, Innovation and Universities(MICINN) and the Pro-CNIC Foundation and is a Severo Ochoa Centre of Excellence(MINECO award SEV-2015-0505). X.R. received support from the SEC-CNICCARDIOJOVEN fellowship program.es_ES
dc.language.isoenges_ES
dc.publisherOxford University Presses_ES
dc.relation.isversionofPostprintes_ES
dc.titleAssessment of quality indicators for acute myocardial infarction management in 28 countries and use of composite quality indicators for benchmarking.es_ES
dc.typeArtículoes_ES
dc.identifier.pubmedID32159359es_ES
dc.format.volume9es_ES
dc.format.number8es_ES
dc.format.page911-922es_ES
dc.identifier.doi10.1177/2048872620911853es_ES
dc.contributor.funderInstituto de Salud Carlos III - ISCIII
dc.contributor.funderFondo de Investigaciones Sanitarias
dc.contributor.funderEuropean Regional Development Fund (ERDF/FEDER)
dc.contributor.funderMinisterio de Ciencia, Innovación y Universidades (España)
dc.contributor.funderFundación ProCNIC
dc.description.peerreviewedes_ES
dc.identifier.e-issn2048-8734es_ES
dc.relation.publisherversionhttps://doi.org/10.1177/2048872620911853es_ES
dc.identifier.journalEuropean heart journal. Acute cardiovascular carees_ES
dc.repisalud.orgCNICCNIC::Grupos de investigación::Laboratorio Traslacional para la Imagen y Terapia Cardiovasculares_ES
dc.repisalud.orgCNICCNIC::Grupos de investigación::Investigación Cardiovascular Traslacional Multidisciplinariaes_ES
dc.repisalud.institucionCNICes_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/ES/SEV-2015-0505es_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/EC/H2020/PI13/01979es_ES
dc.rights.accessRightsinfo:eu-repo/semantics/embargoedAccesses_ES


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