The RECALCAR Project. Healthcare in the Cardiology Units of the Spanish National Health System, 2011 to 2014

Romo, Andrés Íñiguez; Martínez, Vicente Bertoméu; Padial, Luis Rodrı́guez; Sánchez, Manuel Anguita; Mateas, Francisco Ruíz; Urbano, Rafael Hidalgo; Sobrino, José Luis Bernal; Fernández-Pérez, Cristina; Miguel, Carlos Macaya; Somoza, Francisco Javier Elola

doi:10.1016/j.rec.2017.03.022

Cited by 6 publications

(4 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite the fact that the use of non-specific administrative sources, such as this one, for the analysis of clinical indicators in the field of cardiology is controversial, 9 different studies based on the MBDS have validated its usefulness to analyse the results of clinical processes in Spain. [10][11][12][13][14] We set out to study the evolution of CABG and PCI in Spain between 1998 and 2017 with the information obtained from the MBDS from the Department of Health of Spain. Specifically, we analysed the volume of CABG and PCI, the changes in the risk profile of patients and hospital mortality in the two revascularisation strategies.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Retrospective cohort analysis of Spanish national trends of coronary artery bypass grafting and percutaneous coronary intervention from 1998 to 2017

et al. 2021

View full text Add to dashboard Cite

IntroductionSpain is one of the countries with the lowest rates of revascularisation and highest ratio of percutaneous coronary intervention (PCI) to coronary artery bypass grafting (CABG).ObjectivesTo investigate the changes and trends in the two revascularisation procedures between 1998 and 2017 in Spain.DesignRetrospective cohort study. Analysis of in-hospital outcomes.SettingMinimum basic data set from the Spanish National Department of Health: mandatory database collecting information of patients who are attended in the Spanish public National Health System.Participants603 976 patients who underwent isolated CABG or PCI in the Spanish National Health System. The study period was divided in four 5-year intervals. Patients with acute myocardial infarction on admission were excluded.Primary and secondary outcomesWe investigated the volume of procedures nationwide, the changes of the risk profile of patients and in-hospital mortality of both techniques.ResultsWe observed a 2.2-fold increase in the rate of any type of myocardial revascularisation per million inhabitants-year: 357 (1998) to 776 (2017). 93 682 (15.5%) had a coronary surgery. PCI to CABG ratio rose from 2.2 (1998–2002) to 8.1 (2013–2017). Charlson’s index increased by 0.8 for CABG and 1 for PCI. The median annual volume of PCI/hospital augmented from 136 to 232, while the volume of CABG was reduced from 137 to 74. In the two decades, we detected a significant reduction of CABG in-hospital mortality (6.5% vs 2.6%, p<0.001) and a small increase in PCI (1.2% vs 1.5%, p<0.001). Risk adjusted mortality rate was reduced for both CABG (1.51 vs 0.48, p<0.001), and PCI (1.42 vs 1.05, p<0.001).ConclusionWe detected a significant increase in the volume of revascularisations (particularly PCI) in Spain. Risk-adjusted in-hospital mortality was significantly reduced.

show abstract

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Retrospective cohort analysis of Spanish national trends of coronary artery bypass grafting and percutaneous coronary intervention from 1998 to 2017

et al. 2021

View full text Add to dashboard Cite

show abstract

“…In 2016, the Spanish Society of Cardiology (SEC) launched the SEC‐Excellent programme, a project to accredit the quality of healthcare in the most prevalent and important processes and procedures in the cardiovascular area. 4 The first of these to be implemented was HF, whose design and methodology were already published in 2016. 5 Based on this experience, and others carried out in other European countries, the ESC HFA has also initiated the design of a similar programme of quality centres in HF, at European level.…”

Section: Introductionmentioning

confidence: 99%

“…However, it is not enough to create these units; it must be ensured that they meet adequate quality standards. In 2016, the Spanish Society of Cardiology (SEC) launched the SEC‐Excellent programme, a project to accredit the quality of healthcare in the most prevalent and important processes and procedures in the cardiovascular area 4 . The first of these to be implemented was HF, whose design and methodology were already published in 2016 5 .…”

Section: Introductionmentioning

confidence: 99%

Centres of excellence in heart failure: results of an accreditation programme in Spain (2017–2021)

et al. 2022

View full text Add to dashboard Cite

Aims To describe logistics and outcomes of the accreditation program of centres of excellence in heart failure (HF) developed in Spain by the Spanish Society of Cardiology (SEC) between 2016 and 2021. Methods and results A scientific committee created by the SEC defined three types of HF units (community, specialized, and advanced), depending on the characteristics of the hospital and their portfolio of services and equipment, as well as the quality standards required for the accreditation of excellence. The units were required to submit to the SEC a document certifying compliance with the requirements and quality standards. Once verified these, the unit received accreditation of excellence from the SEC. Between 2017 and October 2021, 78 HF units spread throughout Spain applied for accreditation. This represents 50.6% of all Spanish national health system centres with cardiology departments. Accreditation was definitive in 56.4% of the applicant centres and provisional in the remaining 43.6%. Of the 78 units, 19 were community units, 44 specialized, and 15 advanced. Of the 34 units that received provisional accreditation for failure to meet any of the required quality standards, all resolved these deficits within 6 months of the initial evaluation, subsequently receiving definitive accreditation. Conclusions Our experience indicates that implementation of an accreditation programme for excellence and quality of care of HF units at the national level by a scientific society is feasible and sustainable over time, leading the majority of HF units in the country to apply for accreditation and to meet the required quality standards.

show abstract

“…This database contains individualized and anonymized data, coded according to International Classification of Diseases (ICD)-9 and -10. Although the use of non-dedicated administrative data sources, such as this, for the analysis of indicators in cardiac surgery is controversial [ 17 ], different studies based on MBDS have validated its utility in analyzing the results of clinical processes [ 18 , 19 , 20 , 21 ] in Spain.…”

Section: Introductionmentioning

confidence: 99%

Variablity of Mechanical or Tissue Valve Implantation in Patients Undergoing Surgical Aortic Valve Replacement in Spain: National Retrospective Analysis from 2007 to 2018

Carnero-Alcázar

Rodríguez-Caulo

Hernández-Vaquero

et al. 2021

JCM

View full text Add to dashboard Cite

Background: There is no robust evidence regarding the types of valves implanted among patients undergoing surgical aortic valve replacement (SAVR) in Spain. Methods: All cases of patients undergoing SAVR ± coronary artery bypass grafting from January 2007 to December 2018 in the public Spanish National Health System were included. We analyzed the trends of SAVR volume, risk profile and type of implanted valve across time and place. Using multivariable logistic regression, we identified factors associated with biological SAVR. Results: In total, 62,870 episodes of SAVR in 15 Spanish territories were included. In 35,693 (56.8%), a tissue valve was implanted. The annual volume of procedures increased from 107.3/million (2007) to 128.6 (2017). In 2018, it fell to 108.5. Age increased and Charlson’s comorbity index worsened throughout the study period. Tissue valve implantation increased in most regions. After adjusting for other covariates, we observed a high variability in aortic valve implantation across different regions, with differences of as much as 20-fold in the use of tissue valves. Conclusions: Between 2007 and 2018, we detected a significant increase in the use of bioprostheses in patients undergoing SAVR in Spain, and a great variability in the types of valve between the Spanish territories, which was not explained by the different risk profiles of patients.

show abstract

The RECALCAR Project. Healthcare in the Cardiology Units of the Spanish National Health System, 2011 to 2014

Cited by 6 publications

References 37 publications

Retrospective cohort analysis of Spanish national trends of coronary artery bypass grafting and percutaneous coronary intervention from 1998 to 2017

Retrospective cohort analysis of Spanish national trends of coronary artery bypass grafting and percutaneous coronary intervention from 1998 to 2017

Centres of excellence in heart failure: results of an accreditation programme in Spain (2017–2021)

Variablity of Mechanical or Tissue Valve Implantation in Patients Undergoing Surgical Aortic Valve Replacement in Spain: National Retrospective Analysis from 2007 to 2018

Contact Info

Product

Resources

About