Patient, provider, and environmental factors associated with adherence to cardiovascular and cerebrovascular clinical practice guidelines in the ED.

ABSTRACT:

Objectives

Myocardial infarction and stroke are two of the leading causes of death in the U.S. Both diseases have clinical practice guidelines (CPGs) specific to the emergency department (ED) that improve patient outcomes. Our primary objectives were to estimate differences in ED adherence across CPGs for these diseases and identify patient, provider, and environmental factors associated with adherence.

Methods

Design: Retrospective study at 3 hospitals in Colorado using standard medical record review.

Population

Consecutive adults (≥18) hospitalized for acute coronary syndrome (ACS), ST-elevation myocardial infarction (STEMI), or acute ischemic stroke (AIS), who were admitted to the hospital from the ED and for whom the ED diagnosed or initiated treatment.

Outcome

SUBMITTER: Trent SA 

PROVIDER: S-EPMC8454189 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature