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Rodríguez-Mañero M, González-Juanatey JR. Proposal for a model of care for emergency pacemaker implantation. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2024:S1885-5857(24)00208-1. [PMID: 38945359 DOI: 10.1016/j.rec.2024.04.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2024] [Accepted: 04/24/2024] [Indexed: 07/02/2024]
Affiliation(s)
- Moisés Rodríguez-Mañero
- Departamento de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Instituto de Investigación Sanitaria (IDIS), Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain.
| | - José R González-Juanatey
- Departamento de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Instituto de Investigación Sanitaria (IDIS), Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain
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Cequier Á, Bueno H, Macaya C, Bertomeu V, González-Juanatey JR, Íñiguez A, Anguita M, Cruz I, Calvo D, Gómez-Doblas JJ, de la Torre Hernández JM, Del Prado N, Rodríguez Padial L, Pérez-Villacastín J, Bernal JL, Fernández Pérez C, Elola J. Trends in cardiovascular care in the National Health System in Spain. Data from the RECALCAR project 2011-2020. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2022:S1885-5857(22)00318-8. [PMID: 36493955 DOI: 10.1016/j.rec.2022.09.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 09/26/2022] [Indexed: 12/12/2022]
Abstract
INTRODUCTION AND OBJECTIVES The RECALCAR project (Resources and Quality in Cardiology), an initiative of the Spanish Society of Cardiology, aims to standardize information to generate evidence on cardiovascular health outcomes. The objective of this study was to analyze trends in the resources and activity of cardiology units and/or services and to identify the results of cardiovascular care during the last decade in Spain. METHODS The study was based on the 2 annual data sources of the RECALCAR project: a survey on resources and activity of cardiology units and/or services (2011-2020) and the minimum data set of the National Health System (2011-2019), referring to heart failure (HF), STEMI, and non-STEMI. RESULTS The survey included 70% of cardiology units and/or services in Spain. The number of hospital beds and length of stay decreased, while there was a notable increase in the number of cardiac imaging studies and percutaneous therapeutic procedures performed. Age- and sex-adjusted admissions for HF tended to decrease, despite an increase in mortality and the percentage of readmissions. In contrast, the trend in mortality and readmissions was highly favorable in STEMI; in non-STEMI, although positive, the trend was less marked. CONCLUSIONS The information provided by the RECALCAR project shows a favorable trend in the last decade in resources, activity and results of certain cardiovascular processes and constitutes an essential source for future improvements and decision-making in health policy.
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Affiliation(s)
- Ángel Cequier
- Servicio de Cardiología, Hospital Universitario de Bellvitge, Universidad de Barcelona, Instituto de Investigación Biomédica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
| | - Héctor Bueno
- Servicio de Cardiología, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Carlos Macaya
- Servicio de Cardiología, Hospital Universitario Clínico San Carlos, Madrid, Spain
| | - Vicente Bertomeu
- Servicio de Cardiología, Instituto Cardiovascular de la Universidad Católica de Murcia (UCAM), Alicante, Spain
| | - José R González-Juanatey
- Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, A Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain
| | - Andrés Íñiguez
- Servicio de Cardiología, Hospital Álvaro Cunqueiro, Instituto de Investigación Biomédica Galicia Sur, Vigo, Pontevedra, Spain
| | - Manuel Anguita
- Servicio de Cardiología, Hospital Reina Sofía, Universidad de Córdoba, Instituto Maimónides de Investigación Biomédica (IMIBIC), Córdoba, Spain
| | - Ignacio Cruz
- Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain; Servicio de Cardiología, Hospital Universitario de Salamanca, Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain
| | - David Calvo
- Servicio de Cardiología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - Juan José Gómez-Doblas
- Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain; Servicio de Cardiología, Unidad de Gestión Clínica Área del Corazón, Hospital Universitario Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain
| | - José M de la Torre Hernández
- Servicio de Cardiología, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación en Santander (IDIVAL), Santander, Cantabria, Spain
| | - Náyade Del Prado
- Fundación Instituto para la Mejora de la Asistencia Sanitaria (IMAS), Madrid, Spain
| | | | | | - José Luis Bernal
- Fundación Instituto para la Mejora de la Asistencia Sanitaria (IMAS), Madrid, Spain; Servicio de Información y Control de Gestión, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Cristina Fernández Pérez
- Fundación Instituto para la Mejora de la Asistencia Sanitaria (IMAS), Madrid, Spain; Servicio de Medicina Preventiva, Instituto de Investigación de Santiago, Área Sanitaria de Santiago de Compostela y Barbanza, Santiago de Compostela, A Coruña, Spain
| | - Javier Elola
- Fundación Instituto para la Mejora de la Asistencia Sanitaria (IMAS), Madrid, Spain
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Cequier Á, Bueno H, Macaya C, Bertomeu V, González-Juanatey JR, Íñiguez A, Anguita M, Cruz I, Calvo D, Gómez-Doblas JJ, de la Torre Hernández JM, del Prado N, Rodríguez Padial L, Pérez-Villacastín J, Bernal JL, Fernández Pérez C, Elola J. Evolución de la asistencia cardiovascular en el Sistema Nacional de Salud de España. Datos del proyecto RECALCAR 2011-2020. Rev Esp Cardiol 2022. [DOI: 10.1016/j.recesp.2022.09.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Elola FJ. Indicadores de gestión clínica en el área cardiovascular. Un apunte para el debate. Rev Esp Cardiol (Engl Ed) 2021. [DOI: 10.1016/j.recesp.2020.08.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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González-Juanatey JR, Virgós Lamela A, García-Acuña JM, Pais Iglesias B. Clinical management indicators for the cardiovascular area. A note for the debate. Response. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2021; 74:202-203. [PMID: 33184006 DOI: 10.1016/j.rec.2020.09.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Accepted: 09/09/2020] [Indexed: 06/11/2023]
Affiliation(s)
- José R González-Juanatey
- Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago de Compostela (IDIS), Santiago de Compostela, A Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain.
| | - Alejandro Virgós Lamela
- Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago de Compostela (IDIS), Santiago de Compostela, A Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain
| | - José M García-Acuña
- Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago de Compostela (IDIS), Santiago de Compostela, A Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain
| | - Beatriz Pais Iglesias
- Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago de Compostela (IDIS), Santiago de Compostela, A Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain
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González-Juanatey JR, Virgós Lamela A, García-Acuña JM, Pais Iglesias B. Indicadores de gestión clínica en el área cardiovascular. Un apunte para el debate. Respuesta. Rev Esp Cardiol (Engl Ed) 2021. [DOI: 10.1016/j.recesp.2020.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Elola FJ. Clinical management indicators for the cardiovascular area. A note for the debate. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2021; 74:201-202. [PMID: 33097445 DOI: 10.1016/j.rec.2020.08.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 08/24/2020] [Indexed: 06/11/2023]
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González-Juanatey JR, Virgós Lamela A, García-Acuña JM, Pais Iglesias B. [Clinical management in cardiology. Measurement as a means to improvement]. Rev Esp Cardiol 2021; 74:8-14. [PMID: 32836662 PMCID: PMC7332256 DOI: 10.1016/j.recesp.2020.05.032] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Affiliation(s)
- José R González-Juanatey
- Unidad de Críticos Cardiológicos, Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España
- Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), España
| | - Alejandro Virgós Lamela
- Unidad de Críticos Cardiológicos, Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España
- Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), España
| | - José M García-Acuña
- Unidad de Críticos Cardiológicos, Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España
- Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), España
| | - Beatriz Pais Iglesias
- Subdirección de Calidad, Xerencia de Xestión Integrada de Santiago de Compostela, Santiago de Compostela, A Coruña, España
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González-Juanatey JR, Virgós Lamela A, García-Acuña JM, Pais Iglesias B. Clinical management in cardiology. Measurement as a means to improvement. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2021; 74:8-14. [PMID: 32798151 PMCID: PMC9981242 DOI: 10.1016/j.rec.2020.05.043] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 05/29/2020] [Indexed: 10/23/2022]
Affiliation(s)
- José R. González-Juanatey
- Unidad de Críticos Cardiológicos, Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain,Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain,Corresponding author: Servicio de Cardiología, Hospital Clínico Universitario, Travesía da Choupana s/n, 15706 Santiago de Compostela, A Coruña, Spain
| | - Alejandro Virgós Lamela
- Unidad de Críticos Cardiológicos, Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain,Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain
| | - José M. García-Acuña
- Unidad de Críticos Cardiológicos, Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain,Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain
| | - Beatriz Pais Iglesias
- Subdirección de Calidad, Xerencia de Xestión Integrada de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
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Araújo C, Laszczyńska O, Viana M, Dias P, Maciel MJ, Moreira I, Azevedo A. Calidad del cuidado y mortalidad a 30 días de mujeres y varones con infarto agudo de miocardio. Rev Esp Cardiol 2019. [DOI: 10.1016/j.recesp.2018.05.016] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Hornero Sos F, Centella Hernández T, Polo López L, López Menéndez J, Mestres Lucio CA, Bustamante Munguira J, García-Puente J, Dalmau Sorli MJ, Silva Guisasola J, Adrio Nazar B, Saéz de Ibarra JI, Sánchez Espín G, Arribas Leal JM, Porras Martín C, Rodríguez Lecoq R, Barquero Aroca JM, Cuerpo Caballero GP, Bautista Hernández V, Sánchez Pérez R, Legname V, Garrido JM, Cuenca Castillo JJ, Fernández González AL, Josa García-Tornel M. Recomendaciones de la SECTCV para la cirugía cardiovascular. 2019 actualización de los estándares en organización, actividad profesional, calidad asistencial y formación en la especialidad. CIRUGIA CARDIOVASCULAR 2019. [DOI: 10.1016/j.circv.2018.10.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
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Influencia de la experiencia profesional del cardiólogo clínico sobre la adecuación de las indicaciones clínicas de la gated-SPECT de perfusión miocárdica. ARCHIVOS DE CARDIOLOGIA DE MEXICO 2018; 88:386-390. [DOI: 10.1016/j.acmx.2017.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 10/29/2017] [Accepted: 11/06/2017] [Indexed: 11/21/2022] Open
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Abstract
Risk-adjusted mortality has been proposed as a quality of care indicator to gauge cardiovascular intensive care Unit (CICU) performance. Mortality is easily measured, readily understandable, and a meaningful outcome for the patient, provider, administrative agencies, and other key stakeholders. Disease-specific risk-adjusted mortality is commonly used in cardiovascular medicine as an indicator of care quality, for external accreditation, and to determine payer reimbursement. However, the evidence base for overall risk-adjusted mortality in the CICU is limited, with most available data coming from the general critical care literature. In addition, existing risk-adjusted mortality models vary considerably in terms of approach and composition, and there is no nationally recognized standard. Thus, the objective of this study was to review the use of risk-adjusted mortality as a measure of overall unit performance and quality of care in the CICU. We found a considerable variability in the risk-adjustment methodology for cardiovascular disease. Although predictive models for disease-specific risk-adjusted mortality in cardiovascular disease have been developed, there are limited published data on overall risk-adjusted mortality for the CICU. Without standardization of risk-adjustment methodology, researchers are often required to use existing risk-adjustment models developed in noncardiac patient populations. Further studies are needed to establish whether risk-adjusted overall CICU mortality is a valid performance measure and whether it reflects care quality.
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Quality of Care and 30-day Mortality of Women and Men With Acute Myocardial Infarction. ACTA ACUST UNITED AC 2018; 72:543-552. [PMID: 29980406 DOI: 10.1016/j.rec.2018.05.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Accepted: 05/04/2018] [Indexed: 01/22/2023]
Abstract
INTRODUCTION AND OBJECTIVES Despite increased awareness of sex disparities in care and outcomes of acute myocardial infarction (AMI), there appears to have been no consistent attenuation of these differences over the last decade. We investigated differences by sex in management and 30-day mortality using the European Society of Cardiology Acute Cardiovascular Care Association quality indicators (QIs) for AMI. METHODS Proportions and standard errors of the 20 Acute Cardiovascular Care Association QIs were calculated for 771 patients with AMI who were admitted to the cardiology departments of 2 tertiary hospitals in Portugal between August 2013 and December 2014. The association between the composite QI and 30-day mortality was derived from logistic regression. RESULTS Significantly fewer eligible women than men received timely reperfusion, were discharged on dual antiplatelet therapy and high-intensity statins, and were referred to cardiac rehabilitation. Women were less likely to receive recommended interventions (59.6% vs 65.2%; P <.001) and also had higher mean GRACE 2.0 risk score-adjusted 30-day mortality (3.0% vs 1.7%; P <.001). An inverse association between the composite QI and crude 30-day mortality was observed for both sexes (OR, 0.08; 95%CI, 0.01-0.64 for the highest performance tertile vs the lowest). CONCLUSIONS Performance in AMI management is worse for women than men and is associated with higher 30-day mortality, which is also worse for women. Evidence-based QIs have the potential to improve health care delivery and patient prognosis in the overall AMI population and may also bridge the disparity gap between women and men.
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Goldfarb M, Bibas L, Newby LK, Henry TD, Katz J, van Diepen S, Cercek B. Systematic review and directors survey of quality indicators for the cardiovascular intensive care unit. Int J Cardiol 2018. [PMID: 29514748 DOI: 10.1016/j.ijcard.2018.02.113] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Quality indicators (QIs) are increasingly used in cardiovascular care as measures of performance but there is currently no consensus on indicators for the cardiovascular intensive care unit (CICU). METHODS We searched Medline, CINAHL, EMBASE, and COCHRANE databases from inception until October 2016 and websites for organizations involved in quality measurement for QIs relevant to cardiovascular disease in an intensive or critical care setting. We surveyed 14 expert cardiac intensivist-administrators (7 European; 7 North American) on the importance and relevance of each indicator as a measure of CICU care quality using a scale of 1 (=lowest) to 10 (=highest). Indicators with a mean score ≥8/10 for both importance and relevance were included in the final set. RESULTS Overall, 108 QIs (70 process, 18 structural, 18 outcome, 1 patient engagement, and 1 covering multiple domains) were identified in 30 articles representing 23 agencies, organizations, and societies. Disease-specific QIs included myocardial infarction (n = 37), heart failure (n = 31), atrial fibrillation (n = 11), and cardiac rehabilitation (n = 1); general QIs represented about one-quarter (n = 28) of all measures. Fifteen QIs were selected for the final QI set: 7 process, 2 structural, and 6 outcome measures, including 6 general and 9 disease-specific measures. Outcome measures chosen to evaluate general CICU performance included overall CICU mortality, length of stay, and readmission rate. CONCLUSIONS Numerous QIs relevant to the CICU have been recommended by a variety of organizations. The indicators chosen by the cardiac intensivist-administrators could serve as a basis for future efforts to develop a standardized set of quality measures for the CICU.
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Affiliation(s)
- Michael Goldfarb
- Division of Pulmonary and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA, United States; Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA, United States.
| | - Lior Bibas
- Division of Cardiology, McGill University, Montreal, Quebec, Canada
| | - L Kristin Newby
- Division of Cardiology, Duke University, Durham, NC, United States
| | - Timothy D Henry
- Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA, United States
| | - Jason Katz
- Divisions of Cardiology and Pulmonary and Critical Care Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, United States
| | - Sean van Diepen
- Department of Critical Care and Division of Cardiology, University of Alberta, Edmonton, Alberta, Canada
| | - Bojan Cercek
- Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA, United States
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Iniciativas para conseguir una atención excelente en el síndrome coronario agudo. Rev Esp Cardiol (Engl Ed) 2017. [DOI: 10.1016/j.recesp.2017.05.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Lozano Í, Rondán J, Vegas JM, Segovia E. Initiatives to Achieve Excellence in the Care of Acute Coronary Syndrome. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2017; 70:1026-1027. [PMID: 28774631 DOI: 10.1016/j.rec.2017.05.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2017] [Accepted: 05/30/2017] [Indexed: 06/07/2023]
Affiliation(s)
- Íñigo Lozano
- Servicio de Cardiología, Hospital de Cabueñes, Gijón, Asturias, Spain.
| | - Juan Rondán
- Servicio de Cardiología, Hospital de Cabueñes, Gijón, Asturias, Spain
| | - José M Vegas
- Servicio de Cardiología, Hospital de Cabueñes, Gijón, Asturias, Spain
| | - Eduardo Segovia
- Servicio de Cardiología, Hospital de Cabueñes, Gijón, Asturias, Spain
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Íñiguez Romo A, Bertomeu Martínez V, Rodríguez Padial L, Anguita Sánchez M, Ruiz Mateas F, Hidalgo Urbano R, Bernal Sobrino JL, Fernández Pérez C, Macaya de Miguel C, Elola Somoza FJ. Proyecto RECALCAR. La atención al paciente en las unidades de cardiología del Sistema Nacional de Salud, 2011-2014. Rev Esp Cardiol 2017. [DOI: 10.1016/j.recesp.2016.12.031] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Íñiguez Romo A, Bertomeu Martínez V, Rodríguez Padial L, Anguita Sánchez M, Ruiz Mateas F, Hidalgo Urbano R, Bernal Sobrino JL, Fernández Pérez C, Macaya de Miguel C, Elola Somoza FJ. The RECALCAR Project. Healthcare in the Cardiology Units of the Spanish National Health System, 2011 to 2014. ACTA ACUST UNITED AC 2017; 70:567-575. [PMID: 28457812 DOI: 10.1016/j.rec.2017.03.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Accepted: 01/18/2017] [Indexed: 12/15/2022]
Abstract
The RECALCAR project (Spanish acronym for Resources and Quality in Cardiology Units) uses 2 data sources: a survey of cardiology units and an analysis of the Minimum Basic Data set of all hospital discharges of the Spanish National Health System. From 2011 to 2014, there was marked stability in all indicators of the availability, utilization, and productivity of cardiology units. There was significant variability between units and between the health services of the autonomous communities. There was poor implementation of process management (only 14% of the units) and scarce development of health care networks (17%). Structured cardiology units tended to have better results, in terms of both quality and efficiency. No significant differences were found between the different types of unit in the mean length of stay (5.5±1.1 days) or the ratio between successive and first consultations (2:1). The mean discharge rate was 5/1000 inhabitants/y and the mean rate of initial consultations was 16±4/1000 inhabitants/y. No duty or on-call cardiologist was available in 30% of cardiology units with 24 or more beds; of these, no critical care beds were available in 45%. Our findings support the recommendation to regionalize cardiology care and to promote the development of cardiology unit networks.
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Affiliation(s)
- Andrés Íñiguez Romo
- Servicio de Cardiología, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain
| | | | | | | | | | - Rafael Hidalgo Urbano
- Unidad de Gestión Clínica de Cardiología y Cirugía Cardiovascular, Hospital Universitario Virgen Macarena, Sevilla, Spain
| | | | - Cristina Fernández Pérez
- Unidad Transversal de Apoyo a la Investigación, Hospital Clínico Universitario San Carlos, Madrid, Spain
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Demanda futura de procedimientos intervencionistas en cardiopatía estructural. ¿Es sensato realizar TAVI solo en centros con cirugía cardiaca? Respuesta. Rev Esp Cardiol (Engl Ed) 2017. [DOI: 10.1016/j.recesp.2016.11.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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García-Izquierdo Jaén E, Goicolea Ruigómez FJ. Same-day Discharge After Elective Percutaneous Coronary Intervention: A Safe Strategy, but for Which Patients? ACTA ACUST UNITED AC 2017; 70:524-526. [PMID: 28330609 DOI: 10.1016/j.rec.2017.02.029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2016] [Accepted: 12/19/2016] [Indexed: 12/29/2022]
Affiliation(s)
- Eusebio García-Izquierdo Jaén
- Unidad de Hemodinámica y Cardiología Intervencionista, Servicio de Cardiología, Hospital Universitario Puerta de Hierro, Majadahond, Madrid, Spain
| | - Francisco Javier Goicolea Ruigómez
- Unidad de Hemodinámica y Cardiología Intervencionista, Servicio de Cardiología, Hospital Universitario Puerta de Hierro, Majadahond, Madrid, Spain.
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24
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Morís C, Pascual I, Avanzas P. Future Demand for Interventional Procedures in Structural Heart Disease. Is It Wise to Perform TAVI Only in Centers With On-site Cardiac Surgery? Response. ACTA ACUST UNITED AC 2017; 70:308. [PMID: 28169195 DOI: 10.1016/j.rec.2017.01.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2016] [Accepted: 11/23/2016] [Indexed: 10/20/2022]
Affiliation(s)
- César Morís
- Área del Corazón, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
| | - Isaac Pascual
- Área del Corazón, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - Pablo Avanzas
- Área del Corazón, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
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25
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Pagano D, Kappetein AP, Sousa-Uva M, Beyersdorf F, Klautz R, Mohr F, Falk V. EACTS clinical statement: guidance for the provision of adult cardiac surgery: Table 1:. Eur J Cardiothorac Surg 2016; 50:1006-1009. [PMID: 27773867 DOI: 10.1093/ejcts/ezw300] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Revised: 07/29/2016] [Accepted: 08/10/2016] [Indexed: 01/04/2023] Open
Affiliation(s)
- Domenico Pagano
- Department of Cardiothoracic Surgery, University Hospital Birmingham, Birmingham, UK
| | | | - Miguel Sousa-Uva
- Department of Cardiac Surgery, Hospital Cruz Vermelha, Lisbon, Portugal
| | - Friedhelm Beyersdorf
- Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany
| | - Robert Klautz
- Department of Cardiothoracic Surgery, Leiden University Medical Centre, Leiden, Netherlands
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26
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Renilla A, Hevia S, Barriales V. Insuficiente control de parámetros lipídicos en pacientes con enfermedad coronaria: un problema por resolver. Rev Esp Cardiol (Engl Ed) 2016. [DOI: 10.1016/j.recesp.2016.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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27
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Tipología y estándares de calidad de las unidades de insuficiencia cardiaca: consenso científico de la Sociedad Española de Cardiología. Rev Esp Cardiol 2016. [DOI: 10.1016/j.recesp.2016.06.010] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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28
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Comentarios a la guía ESC 2016 sobre prevención de la enfermedad cardiovascular en la práctica clínica. Rev Esp Cardiol 2016. [DOI: 10.1016/j.recesp.2016.08.009] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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29
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Renilla A, Hevia S, Barriales V. Insufficient Lipid Control in Patients With Coronary Artery Disease: An Unresolved Problem. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2016; 69:996-997. [PMID: 27543260 DOI: 10.1016/j.rec.2016.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2016] [Accepted: 06/06/2016] [Indexed: 06/06/2023]
Affiliation(s)
- Alfredo Renilla
- Unidad de Rehabilitación Cardiaca y Prevención Secundaria, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
| | - Sergio Hevia
- Unidad de Rehabilitación Cardiaca y Prevención Secundaria, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - Vicente Barriales
- Unidad de Rehabilitación Cardiaca y Prevención Secundaria, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
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30
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Jiménez Navarro MF. Comments on the 2016 ESC Guidelines on Cardiovascular Disease Prevention in Clinical Practice. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2016; 69:894-899. [PMID: 27692123 DOI: 10.1016/j.rec.2016.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- M F Jiménez Navarro
- UGC del Corazón, Universidad de Málaga, Instituto de Biomedicina de Málaga (IBIMA), Hospital Universitario Virgen de la Victoria, Málaga, Spain.
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31
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Classification and Quality Standards of Heart Failure Units: Scientific Consensus of the Spanish Society of Cardiology. ACTA ACUST UNITED AC 2016; 69:940-950. [PMID: 27576081 DOI: 10.1016/j.rec.2016.06.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2016] [Accepted: 06/02/2016] [Indexed: 12/15/2022]
Abstract
The prevalence of heart failure remains high and represents the highest disease burden in Spain. Heart failure units have been developed to systematize the diagnosis, treatment, and clinical follow-up of heart failure patients, provide a structure to coordinate the actions of various entities and personnel involved in patient care, and improve prognosis and quality of life. There is ample evidence on the benefits of heart failure units or programs, which have become widespread in Spain. One of the challenges to the analysis of heart failure units is standardization of their classification, by determining which "programs" can be identified as heart failure "units" and by characterizing their complexity level. The aim of this article was to present the standards developed by the Spanish Society of Cardiology to classify and establish the requirements for heart failure units within the SEC-Excellence project.
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32
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Barba Cosials J, Pérez de Isla L. Echocardiography Outside the Cardiology Setting. Position Paper and Recommendations of the Spanish Society of Cardiology. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2016; 69:644-646. [PMID: 27235289 DOI: 10.1016/j.rec.2016.04.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2016] [Accepted: 04/05/2016] [Indexed: 06/05/2023]
Affiliation(s)
- Joaquín Barba Cosials
- Departamento de Cardiología y Cirugía Cardiaca, Clínica Universidad de Navarra, Pamplona, Navarra, Spain.
| | - Leopoldo Pérez de Isla
- Servicio de Cardiología, Hospital Clínico San Carlos, Departamento Medicina, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
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33
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Barba Cosials J, Pérez de Isla L. Ecocardiografía fuera del ámbito de la cardiología. Posición y recomendaciones de la Sociedad Española de Cardiología. Rev Esp Cardiol 2016. [DOI: 10.1016/j.recesp.2016.04.005] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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34
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Un paso más allá en la prevención secundaria del riesgo cardiovascular. Documento de consenso del uso clínico del policomprimido. Rev Esp Cardiol 2016. [DOI: 10.1016/j.recesp.2016.02.009] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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35
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González-Juanatey JR, Mostaza JM, Lobos JM, Abarca B, Llisterri JL. A Step Ahead in Secondary Prevention of Cardiovascular Risk. Consensus Document on Clinical Use of the Polypill. ACTA ACUST UNITED AC 2016; 69:547-50. [PMID: 27062678 DOI: 10.1016/j.rec.2016.02.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2016] [Accepted: 02/09/2016] [Indexed: 10/22/2022]
Affiliation(s)
| | | | - José María Lobos
- Sociedad Española de Medicina de Familia y Comunitaria, Barcelona, Spain
| | - Benjamín Abarca
- Sociedad Española de Médicos Generales y de Familia, Madrid, Spain
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36
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Fernández-Lozano I. Comments on the 2015 ESC Guidelines for the Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2016; 69:94-101. [PMID: 26837726 DOI: 10.1016/j.rec.2015.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Accepted: 12/07/2015] [Indexed: 06/05/2023]
Affiliation(s)
- I Fernández-Lozano
- Unidad de Arritmias, Servicio de Cardiología, Hospital Universitario Puerta de Hierro Majadahonda, Manuel de Falla 1, 28222 Majadahonda, Madrid, Spain.
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37
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Fernández-Lozano I. Comentarios a la guía ESC 2015 sobre el tratamiento de pacientes con arritmias ventriculares y prevención de la muerte súbita cardiaca. Rev Esp Cardiol 2016. [DOI: 10.1016/j.recesp.2015.12.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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