Overview of the American Heart Association "Get with the Guidelines" programs: coronary heart disease, stroke, and heart failure.
Overview of the American Heart Association "Get with the Guidelines" programs: coronary heart disease, stroke, and heart failure.
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DOI：
10.1097/01.hpc.0000243588.00012.79
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发表时间：
2006-12-01
影响因子：
--
通讯作者：
LaBresh, Kenneth A
中科院分区：
文献类型：
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作者：
Hong, Yuling;LaBresh, Kenneth A
尽管最近在心脏病和中风的科学知识和治疗和预防（一级和二级）方面取得了进展，但这些疾病仍然是美国的第一和第三大死亡原因。1每年，该国有近50万人死于冠心病，16万多人死于中风。据估计，每年有70万美国人患有新的冠心病（CHD），另有50万人患有复发性CHD事件。中风的相应数字是50万和20万。心力衰竭在社会上的负担也很大。心力衰竭作为主要或次要原因导致的死亡每年总计265，000人。此外，每年有100万心力衰竭患者出院。每年冠心病、中风和心力衰竭的直接和间接费用总和超过2250亿美元。[1]这种巨大的疾病负担也与医院为评估冠状动脉疾病（CAD）、心力衰竭和中风的护理质量而进行的大量数据收集工作有关。其中包括医疗机构认证联合委员会（JCAHO）ORYX和医疗保险和医疗补助服务中心（CMS）急性心肌梗死和心力衰竭测量集，2-4国家心肌梗死登记处，5 GRACE急性冠状动脉综合征，6 Paul Coverdell国家急性卒中登记处，7和ADHERE心力衰竭。8表1列出了来自这些来源的数据，这些数据表明，尽管这些指南得到了广泛传播，但在急性心脏事件、心力衰竭和卒中住院期间，推荐的干预措施往往没有开始。4、6-8
Despite recent advances in scientific knowledge about and improvement of treatment and prevention (primary and secondary) for heart disease and stroke, these conditions remain the number one and 3 causes of death in the United States. 1 Every year, there are nearly 500,000 deaths from coronary heart disease and over 160,000 from stroke in the country. An estimated 700,000 Americans have new coronary heart disease (CHD) every year and an additional 500,000 have recurrent CHD events. The corresponding numbers for stroke are 500,000 and 200,000. The burden of heart failure in the society is also substantial. Deaths attributable to heart failure as the primary or secondary cause total 265,000 per year. In addition, there are one million annual heart failure discharges from hospitals. The combined annual direct and indirect cost for CHD, stroke, and heart failure exceeds $225 billion. 1 This enormous burden of disease is also associated with numerous data collection efforts in hospitals to assess the quality of care delivered in coronary artery disease (CAD), heart failure, and stroke. These include the Joint Commission for the Accreditation of Healthcare Organizations (JCAHO) ORYX and the Centers for Medicare & Medicaid Services (CMS) measure sets for acute myocardial infarction and heart failure, 2–4 the National Registry of Myocardial Infraction, 5 GRACE for acute coronary syndromes, 6 The Paul Coverdell National Acute Stroke Registry, 7 and ADHERE for heart failure. 8 Table 1 presents data from several of these sources that demonstrate, despite wide dissemination of these guidelines, recommended interventions are frequently not initiated during hospitalization for acute cardiac events, heart failure, and stroke. 4, 6–8