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美国心血管护理趋势:来自 4 个美国心脏病学会国家心血管数据注册中心的 2016 年报告。

Trends in U.S. Cardiovascular Care: 2016 Report From 4 ACC National Cardiovascular Data Registries.

机构信息

Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado; Colorado Cardiovascular Outcomes Research Consortium, Denver, Colorado.

American College of Cardiology Foundation, Washington, DC.

出版信息

J Am Coll Cardiol. 2017 Mar 21;69(11):1427-1450. doi: 10.1016/j.jacc.2016.12.005. Epub 2016 Dec 23.

Abstract

Cardiovascular disease is a leading cause of death and disability in the United States. National programs, such as the National Cardiovascular Data Registry, facilitate assessments of the quality of care and outcomes for broad populations of patients with cardiovascular disease. This report provides data for 2014 from 4 National Cardiovascular Data Registry hospital quality programs: 1) CathPCI (Diagnostic Catheterization and Percutaneous Coronary Intervention) for coronary angiography and percutaneous coronary intervention (667,424 procedures performed in 1,612 hospitals); 2) ICD Registry for implantable cardioverter-defibrillators (158,649 procedures performed in 1,715 hospitals); 3) ACTION-GWTG (Acute Coronary Treatment and Intervention Outcomes Network-Get With The Guidelines) for acute coronary syndromes (182,903 patients admitted to 907 hospitals); and 4) IMPACT (Improving Pediatric and Adult Congenital Treatment) for cardiac catheterization and intervention for pediatric and adult congenital heart disease (20,169 procedures in 76 hospitals). The report provides perspectives on the demographic and clinical characteristics of enrolled patients, characteristics of participating centers, and selected measures of processes and outcomes of care in these programs.

摘要

心血管疾病是美国死亡和残疾的主要原因。国家项目,如国家心血管数据注册中心,促进了对广泛心血管疾病患者的护理质量和结果的评估。本报告提供了 2014 年来自 4 个国家心血管数据注册医院质量项目的数据:1)CathPCI(诊断性冠状动脉造影和经皮冠状动脉介入治疗)用于冠状动脉造影和经皮冠状动脉介入治疗(在 1612 家医院进行了 667424 例手术);2)ICD 登记处用于植入式心脏复律除颤器(在 1715 家医院进行了 158649 例手术);3)ACTION-GWTG(急性冠状动脉治疗和干预结果网络——遵循指南)用于急性冠状动脉综合征(907 家医院收治了 182903 名患者);4)IMPACT(改善儿科和成人先天性治疗)用于儿科和成人先天性心脏病的心脏导管插入术和介入治疗(在 76 家医院进行了 20169 例手术)。该报告提供了关于纳入患者的人口统计学和临床特征、参与中心的特征以及这些项目中护理过程和结果的选定措施的观点。

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