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Measurement of left ventricular ejection fraction (LVEF) in patients with hospitalized heart failure (HF) is a key performance indicator (KPI). Previous studies suggest adherence to KPI activities is variable. We sought to determine if measurement of adherence to this KPI varied by hospital type.
We used the Discharge Abstract Database in Alberta, Canada to identify a cohort of patients discharged alive between January 1, 2010 and December 31, 2010 with a primary diagnosis of heart failure. Any test for which a measure of LV ejection fraction may be reported was included provided it was performed within the 12 month window beginning 9 months prior to hospitalization to 3 months following discharge. Patients were excluded if they transferred hospitals, or did not have complete data or follow up. Patients were grouped into hospitals according to provision of tertiary cardiac services, and by type of attending physician.
The cohort comprised of 2952 individuals (1780 tertiary and 1172 non-tertiary, of which 1844 (61%) had LVEF performed, (70% by ECHO). Patients in tertiary care centres (80%) and with cardiologist attending (81%) were most likely to undergo measurement of LVEF.
Measurement of LVEF in hospitalized heart failure patients is variable. Patients outside of hospitals with tertiary services are at a disadvantage as are those with generalist attending MD. Efforts to better identify and address barriers to measurement of LVEF in patients with HF are needed.
|Measurement of LVEF by group||Tertiary Care (n=1780)||Non- tertiary Care(n=1172)||p value||General Practice||Cardiologist||Internist||Other||p value|
Poster Sessions, Expo North
Sunday, March 10, 2013, 9:45 a.m.-10:30 a.m.
Session Title: Improving Heart Failure Outcomes II
Abstract Category: 28. Quality of Care and Outcomes Assessment
Presentation Number: 1200-101
- 2013 American College of Cardiology Foundation