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

Heart Failure protocol presentation

Cla

ss

12

intr

oduc

tion

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

aim

sAnalyse 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

par

ticip

ants

and

met

hods

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

expe

cted

res

ults

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

refe

renc

es

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; 167-173

Inpatient Quality Indicators Overview. AHRQ Quality Indicators. February 2006. Agency for Healthcare Research and Quality, Rockville, MD

GORDON MARSHALL. "SPSS." A Dictionary of Sociology. 1998. 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 1998-2002. 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