Risk-adjustment model in health outcomes evaluation: a contribution to strengthen assessment towards quality improvement in interventional cardiology

Detalhes bibliográficos
Autor(a) principal: Sousa, P.
Data de Publicação: 2008
Outros Autores: Uva, A. S., Pinto, Fausto J.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/35328
Resumo: © The Author 2008. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.
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spelling Risk-adjustment model in health outcomes evaluation: a contribution to strengthen assessment towards quality improvement in interventional cardiologyRisk adjustmentPCIQuality improvementSafetyOutcomes research© The Author 2008. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.Objective: The aim of this study was to develop a risk adjustment model for major adverse cardiac and cerebrovascular events following percutaneous coronary intervention (PCI), using data from a national registry, and to highlight the use of the risk adjustment when we evaluate the quality of care in interventional cardiology. Design: The study design was based on a Coorte study. Bivariate and multivariate logistic regression models were used to identify independent risk factors for these major adverse events. Setting: A total of 19 hospitals from the Portuguese National Registry of Interventional Cardiology. Participants: Data from 10.641 consecutives procedures collected between June 30, 2003 and June 30, 2006. Intervention: Build a risk adjustment model for these major adverse events, following percutaneous coronary intervention. Main Outcome Measure: Factors that were associated with major adverse cardiac and cerebrovascular events following percutaneous coronary intervention. Results: The rate of in-hospital major adverse cardiac and cerebrovascular events was 1.9%. Factors associated with major adverse cardiac and cerebrovascular events included, among others: age >80 years (adjusted odds ratio = 3.91); female gender (1.72); and cardiogenic shock (6.05). Overall, a good discrimination was achieved with receiver operating characteristics curve = 0.84 and Hosmer-Lemeshow goodness of fit statistic across groups of risk was not significant (P = 0.18) indicating little departure from a perfect fit. Conclusions: These findings will represent an important contribution to quality and safety improvement and should help driving new research and innovative approaches to different subgroups of patients who have higher chances of having an adverse event or poorer outcomes following this intervention.Oxford University PressRepositório da Universidade de LisboaSousa, P.Uva, A. S.Pinto, Fausto J.2018-11-14T17:14:12Z20082008-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/35328engInternational Journal for Quality in Health Care, Volume 20, Issue 5, 1 October 2008, pp. 324–3301353-450510.1093/intqhc/mzn029info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:31:13Zoai:repositorio.ul.pt:10451/35328Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:49:48.414125Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Risk-adjustment model in health outcomes evaluation: a contribution to strengthen assessment towards quality improvement in interventional cardiology
title Risk-adjustment model in health outcomes evaluation: a contribution to strengthen assessment towards quality improvement in interventional cardiology
spellingShingle Risk-adjustment model in health outcomes evaluation: a contribution to strengthen assessment towards quality improvement in interventional cardiology
Sousa, P.
Risk adjustment
PCI
Quality improvement
Safety
Outcomes research
title_short Risk-adjustment model in health outcomes evaluation: a contribution to strengthen assessment towards quality improvement in interventional cardiology
title_full Risk-adjustment model in health outcomes evaluation: a contribution to strengthen assessment towards quality improvement in interventional cardiology
title_fullStr Risk-adjustment model in health outcomes evaluation: a contribution to strengthen assessment towards quality improvement in interventional cardiology
title_full_unstemmed Risk-adjustment model in health outcomes evaluation: a contribution to strengthen assessment towards quality improvement in interventional cardiology
title_sort Risk-adjustment model in health outcomes evaluation: a contribution to strengthen assessment towards quality improvement in interventional cardiology
author Sousa, P.
author_facet Sousa, P.
Uva, A. S.
Pinto, Fausto J.
author_role author
author2 Uva, A. S.
Pinto, Fausto J.
author2_role author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Sousa, P.
Uva, A. S.
Pinto, Fausto J.
dc.subject.por.fl_str_mv Risk adjustment
PCI
Quality improvement
Safety
Outcomes research
topic Risk adjustment
PCI
Quality improvement
Safety
Outcomes research
description © The Author 2008. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.
publishDate 2008
dc.date.none.fl_str_mv 2008
2008-01-01T00:00:00Z
2018-11-14T17:14:12Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/35328
url http://hdl.handle.net/10451/35328
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv International Journal for Quality in Health Care, Volume 20, Issue 5, 1 October 2008, pp. 324–330
1353-4505
10.1093/intqhc/mzn029
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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