Quality of care for elderly patients hospitalized with heart failure.
There is increasing interest in the development of explicit criteria to evaluate the quality of care for patients with heart failure.
However, despite this interest, there is a paucity of information about the care of these patients in actual clinical practice across diverse sites.
We conducted a retrospective medical record review across 9 acute care hospitals in Connecticut.
We selected 200 random admissions from each hospital with a principal discharge diagnosis of heart failure in 1994.
Hospitals with fewer than 200 cases had 100% of cases selected.
Patients with heart failure secondary to severe aortic stenosis, mitral stenosis, or medical illness were excluded.
We evaluated the percentage of patients receiving appropriate treatments and interventions as defined by quality-of-care indicators derived from the Agency for Health Care Policy and Research Clinical Practice Guidelines.
Data were abstracted from 1623 hospitalizations and the presence of heart failure was validated by chart review in 1535 (95%). (...)
Mots-clés Pascal : Insuffisance cardiaque, Symptomatologie, Diagnostic, Anamnèse, Valeur prédictive, Evolution, Chimiothérapie, Evaluation, Qualité service, Soin, Etude statistique, Vieillard, Homme, Appareil circulatoire pathologie, Cardiopathie
Mots-clés Pascal anglais : Heart failure, Symptomatology, Diagnosis, Anamnesis, Predictive value, Evolution, Chemotherapy, Evaluation, Service quality, Care, Statistical study, Elderly, Human, Cardiovascular disease, Heart disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0543298
Code Inist : 002B12A01. Création : 24/03/1998.