Department of Public and Occupational Health - EMGO+Institute/VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, the Netherlands,
Neth Heart J. 2014 Aug;22(7-8):346-53. doi: 10.1007/s12471-014-0574-4.
Increasing guideline adherence in the management of acute coronary syndrome (ACS) in hospitals potentially reduces heart failure and mortality. Therefore, an expert panel identified three guideline recommendations as the most important aims for improvement in ACS care, i.e. timely invasive treatment, use of risk scoring instruments and prescription of secondary prevention medication at discharge.
This study aims to evaluate in-hospital guideline adherence in the care of patients diagnosed with ACS and to identify associated factors.
The study has a cross-sectional design. Data are collected in 13 hospitals in the Netherlands by means of retrospective chart review of patients discharged in 2012 with a diagnosis of ACS. The primary outcomes will be the percentages of patients receiving timely invasive treatment, with a documented cardiac risk score, and with a prescription of the guideline-recommended discharge medication. In addition, factors associated with guideline adherence will be studied using generalised linear (mixed) models.
This study explores guideline adherence in Dutch hospitals in the management of patients diagnosed with ACS, using a data source universally available in hospitals. The results of this study can be informative for professionals involved in ACS care as they facilitate targeted improvement efforts.
提高医院急性冠状动脉综合征（ACS）管理中的指南依从性可降低心力衰竭和死亡率。因此，一个专家小组确定了三个作为改善 ACS 治疗的最重要目标的指南建议，即及时进行有创治疗、使用风险评分工具以及在出院时开具二级预防药物。
本研究旨在评估诊断为 ACS 的患者的住院期间指南依从性，并确定相关因素。
本研究采用横断面设计。通过回顾性病历审查，收集 2012 年在荷兰 13 家医院出院的 ACS 患者的数据。主要结局将是接受及时有创治疗、有记录的心脏风险评分以及开具指南推荐的出院药物的患者比例。此外，还将使用广义线性（混合）模型研究与指南依从性相关的因素。
本研究使用医院普遍可用的数据源，探讨了荷兰医院在管理诊断为 ACS 的患者方面的指南依从性。本研究的结果可为参与 ACS 护理的专业人员提供信息，因为这有助于有针对性地进行改进工作。
