The China Patient-Centered Evaluative Assessment of Cardiac Events (China PEACE) retrospective study of acute myocardial infarction: study design.
The China Patient-Centered Evaluative Assessment of Cardiac Events (China PEACE) retrospective study of acute myocardial infarction: study design.
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DOI：
10.1161/circoutcomes.113.000441
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发表时间：
2013-11
期刊：
影响因子：
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通讯作者：
China PEACE Collaborative Group
中科院分区：
文献类型：
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作者：
Dharmarajan K;Li J;Li X;Lin Z;Krumholz HM;Jiang L;China PEACE Collaborative Group
在中国，心血管疾病作为死亡和残疾的原因正在上升。为了改善这些疾病患者的预后，中国政府、学术研究人员、临床医生和200多家医院创建了中国以患者为中心的心脏事件评价评估（China-PEACE），这是一个研究和绩效改进的国家网络。中国和平的第一项研究，急性心肌梗死回顾性研究（中国和平-回顾性AMI研究），旨在通过了解过去十年中国医院代表性样本中急性心肌梗死（AMI）住院患者的特征、治疗和结局，促进AMI护理质量的改善。中国PEACE-回顾性AMI研究将对来自162家医院的18，000多份患者记录进行检查，这些医院采用两阶段整群抽样设计，在经济地理区域内确定。从2001年，2006年和2011年的记录中选择，以确定时间趋势。数据质量将由一个中央协调中心监测，特别是解决病例确定、数据提取和数据管理问题。分析将检查患者的特征，诊断测试模式，住院治疗，住院结果，以及时间和护理地点的结果变化。除出版物外，还将与参与医院和中国政府共享数据，以制定促进质量改进的战略。中国PEACE-回顾性AMI研究是第一个利用中国PEACE平台更好地了解中国代表性医疗机构和过去十年的AMI的研究。政府、学者、临床医生和医院之间的中国PEACE合作将把有关AMI实践和结果的趋势和模式的研究转化为改善患者的护理。
Cardiovascular diseases are rising as a cause of death and disability in China. To improve outcomes for patients with these conditions, the Chinese government, academic researchers, clinicians, and more than 200 hospitals have created China Patient-centered Evaluative Assessment of Cardiac Events (China-PEACE), a national network for research and performance improvement. The first study from China PEACE, the Retrospective Study of Acute Myocardial Infarction (China PEACE-Retrospective AMI Study), is designed to promote improvements in AMI quality of care by generating knowledge about the characteristics, treatments, and outcomes of patients hospitalized with acute myocardial infarction (AMI) across a representative sample of Chinese hospitals over the last decade. The China PEACE-Retrospective AMI Study will examine more than 18,000 patient records from 162 hospitals identified using a 2-stage cluster sampling design within economic-geographic regions. Records were chosen from 2001, 2006, and 2011 to identify temporal trends. Data quality will be monitored by a central coordinating center and will, in particular, address case ascertainment, data abstraction, and data management. Analyses will examine patient characteristics, diagnostic testing patterns, in-hospital treatments, in-hospital outcomes, and variation in results by time and site of care. In addition to publications, data will be shared with participating hospitals and the Chinese government to develop strategies to promote quality improvement. The China PEACE-Retrospective AMI Study is the first to leverage the China PEACE platform to better understand AMI across representative sites of care and over the last decade in China. The China PEACE collaboration between government, academicians, clinicians and hospitals is poised to translate research about trends and patterns of AMI practices and outcomes into improved care for patients.