Quality indicators for the care and outcomes of adults with atrial fibrillation
Por:
Arbelo, E, Aktaa, S, Bollmann, A, D'Avila, A, Drossart, I, Dwight, J, Hills, MT, Hindricks, G, Kusumoto, FM, Lane, DA, Lau, DH, Lettino, M, Lip, GYH, Lobban, T, Pak, HN, Potpara, T, Saenz, LC, Van Gelder, IC, Varosy, P, Gale, CP, Dagres, N, Boveda, S, Deneke, T, Defaye, P, Conte, G, Lenarczyk, R, Providencia, R, Guerra, JM, Takahashi, Y, Pisani, C, Nava, S, Sarkozy, A, Glotzer, TV, Oliveira, MM
Publicada:
1 abr 2021
Resumen:
Aims To develop quality indicators (QIs) that may be used to evaluate the quality of care and outcomes for adults with atrial fibrillation (AF).
Methods and results We followed the ESC methodology for QI development. This methodology involved (i) the identification of the domains of AF care for the diagnosis and management of AF (by a group of experts including members of the ESC Clinical Practice Guidelines Task Force for AF); (ii) the construction of candidate QIs (including a systematic review of the literature); and (iii) the selection of the final set of QIs (using a modified Delphi method). Six domains of care for the diagnosis and management of AF were identified: (i) Patient assessment (baseline and follow-up), (ii) Anticoagulation therapy, (iii) Rate control strategy, (iv) Rhythm control strategy, (v) Risk factor management, and (vi) Outcomes measures, including patient-reported outcome measures (PROMs). In total, 17 main and 17 secondary QIs, which covered all six domains of care for the diagnosis and management of AF, were selected. The outcome domain included measures on the consequences and treatment of AF, as well as PROMs.
Conclusion This document defines six domains of AF care (patient assessment, anticoagulation, rate control, rhythm control, risk factor management, and outcomes), and provides 17 main and 17 secondary QIs for the diagnosis and management of AF. It is anticipated that implementation of these QIs will improve the quality of AF care.
Filiaciones:
Arbelo, E:
Univ Barcelona, Hosp Clin, Arrhythmia Sect, Cardiol Dept, C Villarroel 170,Esc 3,Planta 6, Barcelona 08036, Spain
Inst Invest August Pi & Sunyer IDIBAPS, Barcelona, Spain
Ctr Invest Biomed Red Enfermedades Cardiovasc, Madrid, Spain
Aktaa, S:
Univ Leeds, Leeds Inst Data Analyt, Leeds, W Yorkshire, England
Univ Leeds, Leeds Inst Cardiovasc & Metab Med, Leeds, W Yorkshire, England
Leeds Teaching Hosp NHS Trust, Dept Cardiol, Leeds, W Yorkshire, England
Bollmann, A:
Univ Leipzig, Dept Electrophysiol, Heart Ctr Leipzig, Leipzig, Germany
D'Avila, A:
Hosp SOS Cardio, Cardiac Arrhythmia Serv, Florianopolis, SC, Brazil
Harvard Med Sch, Beth Israel Deaconess Med Ctr, Harvard Thorndike Electrophysiol Inst, Boston, MA 02115 USA
Drossart, I:
European Soc Cardiol, Sophia Antipolis, France
ESC Patient Forum, Sophia Antipolis, France
Dwight, J:
ESC Patient Forum, Sophia Antipolis, France
Hills, MT:
Amer Fdn Womens Hlth, StopAfib Org, Decatur, TX USA
Hindricks, G:
Univ Leipzig, Dept Electrophysiol, Heart Ctr Leipzig, Leipzig, Germany
Kusumoto, FM:
Mayo Clin Hosp, Cardiol Dept, Jacksonville, FL USA
Lane, DA:
Univ Liverpool, Liverpool Ctr Cardiovasc Sci, Liverpool, Merseyside, England
Liverpool Heart & Chest Hosp, Liverpool, Merseyside, England
Aalborg Univ, Dept Clin Med, Aalborg Thrombosis Res Unit, Aalborg, Denmark
Lau, DH:
Univ Adelaide, Ctr Heart Rhythm Disorders, Adelaide, SA, Australia
Royal Adelaide Hosp, Dept Cardiol, Adelaide, SA, Australia
Lettino, M:
San Gerardo Hosp, Cardiovasc Dept, ASST Monza, Monza, Italy
Lip, GYH:
Univ Liverpool, Liverpool Ctr Cardiovasc Sci, Liverpool, Merseyside, England
Liverpool Heart & Chest Hosp, Liverpool, Merseyside, England
Aalborg Univ, Dept Clin Med, Aalborg Thrombosis Res Unit, Aalborg, Denmark
Lobban, T:
Arrhythmia Alliance AF Assoc STARS, Chipping Norton, England
Pak, HN:
Yonsei Univ Hlth Syst, Seoul, South Korea
Potpara, T:
Univ Belgrade, Sch Med, Belgrade, Serbia
Clin Ctr Serbia, Cardiol Clin, Belgrade, Serbia
Saenz, LC:
Fdn Cardio Infantil Inst Cardiol, Bogota, Colombia
Van Gelder, IC:
Univ Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands
Varosy, P:
Rocky Mt Reg Vet Affairs Med Ctr, Aurora, CO USA
Univ Colorado, Anschutz Med Campus, Aurora, CO USA
Gale, CP:
Univ Leeds, Leeds Inst Data Analyt, Leeds, W Yorkshire, England
Univ Leeds, Leeds Inst Cardiovasc & Metab Med, Leeds, W Yorkshire, England
Leeds Teaching Hosp NHS Trust, Dept Cardiol, Leeds, W Yorkshire, England
Dagres, N:
Univ Leipzig, Dept Electrophysiol, Heart Ctr Leipzig, Leipzig, Germany
Boveda, S:
Heart Rhythm Dept, Clin Pasteur, F-31076 Toulouse, France
Deneke, T:
Heart Ctr RHON KLINIKUM Campus Bad Neustadt, Clin Intervent Electrophysiol, Bad Neustadt an der Saale, Germany
Defaye, P:
CHU Grenoble Alpes, Unite Rythmol Serv Cardiol, CS10135, F-38043 Grenoble 09, France
Conte, G:
Cardioctr Ticino, Cardiol Dept, Lugano, Switzerland
Lenarczyk, R:
Silesian Ctr Heart Dis, Dept Cardiol & Angiol 1, Curie Sklodowskiej Str 9, PL-41800 Zabrze, Poland
Providencia, R:
Barts Hlth NHS Trust London, St Bartholomews Hosp, Barts Heart Ctr, London, England
UCL, Inst Hlth Informat, London, England
Guerra, JM:
Univ Autonoma Barcelona, Dept Cardiol, CIBERCV, Hosp Santa Creu & St Pau, Barcelona, Spain
Takahashi, Y:
Tokyo Med & Dent Univ, Dept Adv Arrhythmia Res, Tokyo, Japan
Pisani, C:
Heart Inst, Arrhythmia Unit, Sao Paulo, Brazil
Nava, S:
Inst Nacl Cardiol Ignacio Chavez, Electrocardiol Dept, Mexico City, DF, Mexico
Sarkozy, A:
Univ Antwerp, Univ Hosp Antwerp, Antwerp, Belgium
Glotzer, TV:
Rutgers New Jersey Med Sch, Hackensack Meridian Seton Hall Sch Med, Hackensack, NJ USA
Hackensack Univ, Med Ctr, Cardiac Res, Hackensack, NJ USA
Oliveira, MM:
Hosp Santa Marta, Dept Cardiol, Rua Santa Marta, P-1167024 Lisbon, Portugal
Green Published
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