SWEDEHEART Annual Report 2012
SWEDEHEART Annual Report 2012
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DOI：
10.3109/14017431.2014.931551
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发表时间：
2014-08-01
影响因子：
2.2
通讯作者：
Jernberg, Tomas
中科院分区：
文献类型：
--
作者：
Hambraeus, Kristina;Held, Claes;Jernberg, Tomas
根据推荐疗法评价的心脏病循证护理的瑞典网络系统（SWEDEHEART）通过提供关于基线、诊断、手术和结局变量的广泛数据，支持对冠状动脉疾病、基于导管的冠状动脉介入术和外科冠状动脉介入术、二级预防以及基于导管的瓣膜介入术和外科瓣膜介入术的持续监测和护理改进。设计该国家质量登记处收集了所有瑞典医院治疗急性冠状动脉疾病患者和所有接受冠状动脉造影、基于导管的干预或心脏手术患者的信息。与其他国家强制性官方登记系统相结合，可以对所有个体进行关于心肌梗死、新介入手术、死亡和全因住院的完整随访。该登记处由一个独立的指导委员会管理，并由瑞典国家卫生保健提供者提供资金。该软件由乌普萨拉临床研究中心开发。结果SWEDEHEART质量指数反映了冠状动脉疾病的整体护理质量，包括二级预防。与2011年相比，2012年该指数总体有所改善。然而，各个中心之间的表现仍然存在很大差异，强调需要在国家和中心层面持续监测护理质量。
The Swedish Web-system for Enhancement and Development of Evidence-based care in Heart disease Evaluated According to Recommended Therapies (SWEDEHEART) supports continuous monitoring and improvement of care for coronary artery disease, catheter-based and surgical coronary interventions, secondary prevention as well as catheter based and surgical valve intervention, by providing extensive data on base-line, diagnostic, procedural and outcome variables. Design. This national quality registry collects information from all Swedish hospitals treating patients with acute coronary artery disease and all patients undergoing coronary angiography, catheter-based interventions or heart surgery. Combination with other national mandatory official registries enables complete follow-up of all individuals regarding myocardial infarction, new interventional procedures, death and all-cause hospitalizations. The registry is governed by an independent steering committee and funded by the Swedish National Health care provider. The software is developed by Uppsala Clinical Research Center. Results. The SWEDEHEART Quality Index reflects overall quality of care for coronary artery disease including secondary prevention. In comparison with 2011, an improvement of the index occurred in 2012 overall. There was however, still a wide range in performance between individual centers, emphasizing the need for continuous monitoring of quality of care at a national as well as on a center level.