Improving quality of care for acute myocardial infarction. The Guidelines Applied in Practice (GAP) initiative

Mehta, R.H.; Montoye, Cecelia; Gallogly, Molly

doi:10.1016/s1062-1458(02)00686-4

Cited by 169 publications

(230 citation statements)

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“…Systolic BP (mm Hg) 121 [19] 122 [17] 119 [20] 122 [18] 121 [19] Continuously distributed variables were summarized using means and standard deviations. Means across years were then compared using analysis-of-variance models.…”

Section: Discussionmentioning

confidence: 99%

“…This practice serves as the conceptual basis for both the AHA GWTG program 16 and the ACC' s Guidelines Applied in Practice (GAP) initiative. 17 Improved compliance is exemplified in a study of 10,288 ACS patients. Among patients who received lipid-lowering drugs while in the hospital, 88% were in compliance 10 months later compared with 34% of patients who were not discharged on lipid-lowering therapy.…”

Section: Temporal Changes In Coronary Artery Disease Medication Utilimentioning

confidence: 99%

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Comprehensive Coronary Artery Disease Care in a Safety-Net Hospital: Results of Get With The Guidelines Quality Improvement Initiative

Krantz

Baker²,

Estacio³

et al. 2007

JMCP

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RESEARCHBACkGRouND: Adherence to published coronary artery disease (CAD) guidelines is suboptimal, particularly among minorities and the poor. While hospital-based quality-improvement programs may increase the use of evidence-based therapies, little data exist regarding the impact of such programs in sociodemographically disadvantaged (vulnerable) populations. Vulnerable patients in the united States are cared for primarily within the safety-net health system, which comprises urban public hospitals and outpatient community health centers. Denver Health is an example of an integrated system that encompasses both types of facilities.

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Section: Discussionmentioning

confidence: 99%

Section: Temporal Changes In Coronary Artery Disease Medication Utilimentioning

confidence: 99%

Comprehensive Coronary Artery Disease Care in a Safety-Net Hospital: Results of Get With The Guidelines Quality Improvement Initiative

Krantz

Baker²,

Estacio³

et al. 2007

JMCP

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“…Our findings thus have significant clinical and health policy implications. Continuous quality-improvement initiatives, such as the ACS Guidelines Applied in Practice project, 11 are particularly relevant to this concept, because the creation of effective care systems serves to maximize secondary prevention after ACS.…”

Section: Discussionmentioning

confidence: 99%

Impact of combination evidence-based medical therapy on mortality in patients with acute coronary syndromes

Mukherjee¹,

Fang²,

Chetcuti³

2004

ACC Current Journal Review

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Background-Several individual pharmacological agents, such as antiplatelet drugs, ␤-blockers, ACE inhibitors, and lipid-lowering agents, have proven efficacy in reducing mortality in patients with acute coronary syndromes. However, the impact of the combination of these agents on clinical outcomes has not been studied before. Methods and Results-A total of 1358 consecutive patients presenting with acute coronary syndromes between January 1999 and March 2002 were identified, and data on baseline demographics, comorbidities, and in-hospital management were collected. On the basis of discharge use of evidence-based therapies, we created a composite appropriateness score depending on the number of the drugs used divided by the number of the drugs potentially indicated for each patient. The impact of the composite score on 6-month mortality was analyzed using a risk-adjusted logistic regression model. The odds ratio for death for all indicated medications used (appropriateness level IV) versus none of the indicated medications used (appropriateness level 0) was 0.

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“…Programs such as the Cardiac Hospitalization Atherosclerosis Management Program, 27 the American College of Cardiology Guidelines Applied in Practice, 28 and the American Heart Association's Get With the Guidelines 29 have demonstrated significant improvements in the rates of secondary prevention in cardiac patients including those undergoing CABG, and have underscored the importance of programmatic change as a key element in improving and sustaining quality of care. Our results highlight gaps in secondary prevention and the need to develop comprehensive quality improvement pro- ACEϭAngiotensin converting enzyme.…”

Section: Discussionmentioning

confidence: 99%

Patterns of Secondary Prevention in Older Patients Undergoing Coronary Artery Bypass Grafting During Hospitalization for Acute Myocardial Infarction

et al. 2003

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Improving quality of care for acute myocardial infarction. The Guidelines Applied in Practice (GAP) initiative

Cited by 169 publications

References 0 publications

Comprehensive Coronary Artery Disease Care in a Safety-Net Hospital: Results of Get With The Guidelines Quality Improvement Initiative

Comprehensive Coronary Artery Disease Care in a Safety-Net Hospital: Results of Get With The Guidelines Quality Improvement Initiative

Impact of combination evidence-based medical therapy on mortality in patients with acute coronary syndromes

Patterns of Secondary Prevention in Older Patients Undergoing Coronary Artery Bypass Grafting During Hospitalization for Acute Myocardial Infarction

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