Heart Failure protocol presentation Class 12. introduction This study will analyze certain aspects related with heart failure in different Portuguese.

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Presentation transcript:

Heart Failure protocol presentation Class 12

introduction This study will analyze certain aspects related with heart failure in different Portuguese hospitals Use of Inpatient Quality Indicators (IQI´s) allows the evaluation of the quality of care provided by the hospitals GDH Database : national database containing administrative data of the various hospitals

aims Analyse outcome measures associated with heart failure in Portuguese hospitals Analyse medical procedures during the patients´ in-stay Comparison between hospitals dividing them in two groups aim

participants and methods Descriptive and retrospective study Division of the hospitals in two groups: Group1: central hospitals Group2: peripheral hospitals Selection of all cases that present the main diagnostic as heart failure (represented by the ICD-9 code 428) Patients under 18 years old and transferred patients will be excluded Variables : age, sex, in-stay period, outcome, medical procedures adopted, in-hospital mortality participants and methods

expected results Heart Failure’s Incidence -it is expected a growing incidence of heart failure over the years Heart Failure Mortality -better processes of care may reduce short-term mortality, which represent better quality -it is estimated to be higher in central hospitals rather than in peripheral hospitals In-stay Period -lower length of stay generally consists in a better quality of care; -is expected to be longer in central hospitals Quality of care -it is expected to be better in central hospitals

references Coats AJ. Therapeutic interventions to reduce rates of hospitalization and death in patients with heart failure: new clinical evidence. Cardiology 1992; 81: 1–7 O’Connell JB, Bristow MR. Economic impact of heart failure in the United States —time for a different approach. J Heart Lung Transplant 1994; 13: S107–S112 Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG, et al. ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult. J Am Coll Cardiol. 2005;46:1-82 Kannel W, Incidence and Epidemiology of Heart Failure. Heart Failure Reviews. 2000; Inpatient Quality Indicators Overview. AHRQ Quality Indicators. February Agency for Healthcare Research and Quality, Rockville, MD GORDON MARSHALL. "SPSS." A Dictionary of Sociology Encyclopedia.com. (December 9, 2008) Luthi JC, Flanders WD, Pitts SR, Burnand B, McClellan WM. Outcomes and the quality of care for patients hospitalized with heart failure. International Journal for Quality in Health Care 2004; Volume 16, Number 3: pp. 201–210 C M San Román Terán, R Guijarro Merino, M Guil García, J Villar Jiménez, M Martín Pérez, R Gómez Huelgas. Analysis of 27,248 hospital discharges for heart failure: a study of an administrative database Rev Clin Esp. 2008;208(6):281-7 William B. Kannel, MD, MPH. Incidence and Epidemiology of Heart Failure. Heart Failure Reviews, 5, 167±173, 2000 Kluwer Academic Publishers. Jean-Christophe Luthia, William M McClellanc, W. Dana Flandersc, Stephen R Pittsc, Bernard Burnanda. Variations in quality of care for heart failure. SWISS MED WKLY 2006;136:268–273