AMI-4 ,. Adult Smoking History. Arrival Date. Arrival Time. AMI-2 ,. AMI-1 ,. AMI-5 ,. AMI-6 ,. Comfort Measures Only.
Contraindication to Aspirin at Discharge. Contraindication to Aspirin on Arrival. Contraindication to Beta-Blocker at Discharge. Contraindication to Beta-Blocker on Arrival. Fibrinolytic Administration. Fibrinolytic Administration Date. Fibrinolytic Administration Time. AMI-T2 ,. First PCI Date. First PCI Time.
These variables were out of the control of the hospital and will exclusively affect the mortality proportion. Moreover, quality of care measurement depends on the detectability of information gathered in medicinal records and may not precisely reflect care conveyance. Taking everything into account, our analyses of the quality of care indicators for AMI patients reveal less satisfactory outcomes. Further investigations should be led in other provinces of Pakistan to distinguish, evaluate, and improve the AMI care.
Besides, we recommend that clinicians and health care providers use both quality indicators and outcome measures to optimally assess overall clinic quality of care for AMI.
The difference in treatment quality between hospitals shows that there is room for improvement in hospitals with poor quality, and it can also help hospitals to make targeted improvements. Study concept and design: S. Acquisition, analysis, or interpretation of data: All authors. Drafting of the manuscript: S.
Critical revision of the manuscript for important intellectual content: All authors. Statistical analysis: S. Obtained funding: M. Study supervision: M. National Center for Biotechnology Information , U. Published online Oct Find articles by Shazia Rehman. Find articles by Xi Li. Find articles by Chao Wang. Find articles by Meina Liu. Author information Article notes Copyright and License information Disclaimer.
Received Aug 15; Accepted Oct This article has been cited by other articles in PMC. Abstract A wide variation exists in the practice patterns of acute myocardial infarction AMI care worldwide, leading to differences in clinical outcomes. Keywords: acute myocardial infarction, quality of care, in-hospital outcomes, compliance measurement, composite score. Introduction Despite attempts by professional societies to standardize acute myocardial infarction AMI care through the guidelines, substantial variation exists in the practice patterns for the management of AMI in hospitals around the world.
Methods 2. Statistical Analysis Baseline demographic characteristics of patients and co-morbidities for the selected population were summed up in the form of frequencies and percentages Table 1 and Table 2. Table 1 Univariate relationship between patient characteristics and outcome measures. Open in a separate window. Table 2 Univariate analysis of comorbidities with in-hospital mortality and length of stay. Results 3. Clinical Characteristics Table 1 indicates the baseline and clinical attributes of admissions for AMI.
Figure 1. Regression coefficients estimation for in-house mortality and length of stay. Compliance Measurements At a primary level of care, of patients Table 3 Adherence to performance measures. Table 4 Association of process measures with clinical outcomes among acute myocardial infarction patients. Specialized Hospital 0. Table 6 Effect of patient composite scores on length of stay. Uninsured 0. Specialized hospital 0. Discussion This study provides the most recent statistics for evaluating quality of care delivery for patients with acute MI in Pakistan.
Author Contributions S. Conflicts of Interest The authors declare no conflict of interest. References 1. Califf R. Integrating quality into the cycle of therapeutic development. Schiele F. Kontos M. Heart J. Peterson E. Baldwin L. Rural Health. Krumholz H. Chew D. National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Australian clinical guidelines for the management of acute coronary syndromes Indicators of quality of care for patients with acute myocardial infarction.
Ibanez B. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation.
Jneid H. Tran D. Mozaffarian D. Khursheed M. Time to treatment in patients of suspected acute coronary syndrome in Pakistan: A clinical audit.
Lung J. Acute Crit. Jafary M. Pakistan J. Malik S. Reform of primary health care in Pakistan. Thank you! Print this page. AMI Sample Size Requirements Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. A hospital may choose to use a larger sample size than is required. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter for the measure set cannot sample.
Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. The following sample size tables for each option automatically build in the number of cases needed to obtain the required sample sizes. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual.
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