Continuum of Care for Acute Coronary Syndrome

Gibler, W. Brian; Racadio, Judy M.; Hirsch, A.; Roat, Todd W.

doi:10.1097/hpc.0000000000000151

Cited by 6 publications

(6 citation statements)

References 69 publications

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“…Implementation of team-based intensification of patient care and development of health information technology have been variably reported to succeed in improving the situation. 39,55 However, no single solution exists for the complex problems of nonachievement of LDL-C target and statin nonadherence. A multifaceted effort that involves the provider, the patient, and the health-care system itself is required to improve the quality of cholesterol control.…”

Section: Cholesterol Managementmentioning

confidence: 99%

“…Providing user-friendly tools, such as discharge medication schedules, instructions, or pill boxes, may further aid patients and improve their drug adherence. [38][39][40]…”

Section: Evidence-based Medicationsmentioning

confidence: 99%

“…1,3 The rates of cardiac rehabilitation participation are unsatisfactory, ranging from 14% to 55%, and the dropout rate is high. 39 Many potential barriers to participation in cardiac rehabilitation have been addressed, such as lack of physician recommendation, lack of insurance, and lower education. Among them, lack of referral to a cardiac rehabilitation program may be the most crucial impediment to patient enrollment.…”

Section: Cardiac Rehabilitation Programsmentioning

confidence: 99%

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Quality care in ST-segment elevation myocardial infarction

Liu

Hung

Chiang

et al. 2022

Journal of the Chinese Medical Association

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Over the past decades, the treatment of ST-segment elevation myocardial infarction (STEMI) has been redefined with the incorporation of evidence from multiple clinical trials. Recommendations from guidelines are updated regularly to reduce morbidity and mortality. However, heterogeneous care systems, physician perspectives, and patient behavior still lead to a disparity between evidence and clinical practice. The quality of care has been established and become an integral part of modern healthcare in order to increase the likelihood of desired health outcomes and adhere to professional knowledge. For patients with STEMI, measuring the quality of care is a multifactorial and multidimensional process that cannot be estimated solely based on patients’ clinical outcomes. The care of STEMI is similar to the concept of “the chain of survival” that emphasizes the importance of seamless integration of five links: early recognition and diagnosis, timely reperfusion, evidence-based medications, control of cholesterol, and cardiac rehabilitation. Serial quality indicators, reflecting the full spectrum of care, have become a widely used tool for assessing performance. Comprehension of every aspect of quality assessment and indicators might be too demanding for a physician. However, it is worthwhile to understand the concepts involved in quality improvement since every physician wants to provide better care for their patients. This article reviews a fundamental approach to quality care in STEMI.

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Section: Cholesterol Managementmentioning

confidence: 99%

“…Providing user-friendly tools, such as discharge medication schedules, instructions, or pill boxes, may further aid patients and improve their drug adherence. [38][39][40]…”

Section: Evidence-based Medicationsmentioning

confidence: 99%

Section: Cardiac Rehabilitation Programsmentioning

confidence: 99%

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Quality care in ST-segment elevation myocardial infarction

Liu

Hung

Chiang

et al. 2022

Journal of the Chinese Medical Association

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“…Acute coronary syndrome (ACS) is a disease with high morbidity and mortality [1]. The risk of recurrence is still high, especially in the 1 st year [2].…”

Section: Introductionmentioning

confidence: 99%

Patient’s Transition Experiences from Hospital to Home after an Acute Cardiac Event

Khoiriyati

Kusnanto

Kurniawati

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Care transition after hospital discharge is challenging for patients and their families. For post an acute cardiac event patients, the 0–14 days period is a vulnerable period. After hospitalization, patients and their families report having unmet information needs at a time of hospital discharge. It can increase the complication and hospital readmission. AIM: This study aim to explore the patient’s transition experiences from hospital to home after an acute cardiac event. METHODS: An exploratory qualitative research design with phenomenological approach was used in the study. The data were collected from April to July 2020, using semi-structured interviews with 15 patients diagnosed with acute coronary syndrome (ACS). Transcribed interview data were thematically analyzed. RESULTS: There are five themes obtained from the study: Positive perception after an acute cardiac event, the changes experienced, the knowledge which was required, the support needs, and expectations and goals. CONCLUSION: Transition from hospital to home depends on the perceptions of the participants themselves. The experience of transitioning patients from hospital to home was influenced by the existence of support from family, spiritual meaning, and social environment to be able to adapt to health conditions. The finding of this study can assist the nurses in understanding better the needs of patients to prepare the care transition from the hospital to home.

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“…Acute coronary syndrome (ACS), especially ST elevation myocardial infarction (STEMI) and non-ST elevation myocardial infarction (NSTEMI), can cause significant morbidity and mortality. 1 The risk of recurrence of heart disease is also still high after ACS, especially in the first year. 2 stroke, or cardiovascular death after acute coronary syndrome.…”

Section: Introductionmentioning

confidence: 99%

Experiences of Recovery from Acute Coronary Syndrome: A Systematic Review

Khoiriyati¹,

Kusnanto²,

Kurniawati³

2019

Ind. Jour. of Publ. Health Rese. & Develop.

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Understanding how patients experience recovery from acute coronary syndrome is critical for improving continuity of care. Continuity of care from hospital to home can be particularly challenging. This review aims to provide an overview of patients' experiences of recovery from ACS. Data sources used keyword search of Medline, CINAHL plus, Scopus, Science Direct and Proquest databases. The inclusion criteria were conducted with adult population, qualitative research and articles published in English language in 2008-2018. This review used Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) guidelines. The samples of 21 qualitative articles were included. Discharge planning and systematic followup shortly after discharge are increasingly viewed as being important. Patients need adequate instruction and information on how to integrate health information. Further research is needed to improve intervention strategy among people suffering from ACS, especially in developing countries.

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Continuum of Care for Acute Coronary Syndrome

Cited by 6 publications

References 69 publications

Quality care in ST-segment elevation myocardial infarction

Quality care in ST-segment elevation myocardial infarction

Patient’s Transition Experiences from Hospital to Home after an Acute Cardiac Event

Experiences of Recovery from Acute Coronary Syndrome: A Systematic Review

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