TY - JOUR
T1 - Patterns of Guideline Adherence and Care Delivery for Patients with Unstable Angina and Non-ST-segment Elevation Myocardial Infarction (From the CRUSADE Quality Improvement Initiative)
AU - Tricoci, Pierluigi
AU - Peterson, Eric D.
AU - Roe, Matthew T.
PY - 2006/12/18
Y1 - 2006/12/18
N2 - The Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation of the American College of Cardiology/American Heart Association Guidelines (CRUSADE) initiative is a prospective, rapid-cycle quality-improvement initiative that focuses on improving both the diagnostic evaluation of patients with non-ST-segment elevation (NSTE) acute coronary syndromes (ACS; defined as ischemic ST-segment changes and/or positive cardiac markers) and the use of treatments recommended by the American College of Cardiology (ACC)/American Heart Association (AHA) guidelines for management of NSTE ACS. The ultimate goal of the CRUSADE initiative is to improve the quality of care among high-risk patients with NSTE ACS. At the same time, the CRUSADE initiative provides the unique opportunity to evaluate the pattern of NSTE ACS management in a large-scale, routine practice setting in the United States. Cumulatively, the CRUSADE initiative has collected data from >165,000 patients with NSTE ACS admitted at >400 US hospitals since 2001. This article reviews the major results from the CRUSADE initiative on risk stratification, gaps in guidelines adherence, paradoxical care, and the association of guideline adherence with outcomes.
AB - The Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation of the American College of Cardiology/American Heart Association Guidelines (CRUSADE) initiative is a prospective, rapid-cycle quality-improvement initiative that focuses on improving both the diagnostic evaluation of patients with non-ST-segment elevation (NSTE) acute coronary syndromes (ACS; defined as ischemic ST-segment changes and/or positive cardiac markers) and the use of treatments recommended by the American College of Cardiology (ACC)/American Heart Association (AHA) guidelines for management of NSTE ACS. The ultimate goal of the CRUSADE initiative is to improve the quality of care among high-risk patients with NSTE ACS. At the same time, the CRUSADE initiative provides the unique opportunity to evaluate the pattern of NSTE ACS management in a large-scale, routine practice setting in the United States. Cumulatively, the CRUSADE initiative has collected data from >165,000 patients with NSTE ACS admitted at >400 US hospitals since 2001. This article reviews the major results from the CRUSADE initiative on risk stratification, gaps in guidelines adherence, paradoxical care, and the association of guideline adherence with outcomes.
UR - http://www.scopus.com/inward/record.url?scp=33845357558&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33845357558&partnerID=8YFLogxK
U2 - 10.1016/j.amjcard.2006.09.022
DO - 10.1016/j.amjcard.2006.09.022
M3 - Article
C2 - 17169628
AN - SCOPUS:33845357558
SN - 0002-9149
VL - 98
SP - S30-S35
JO - American Journal of Cardiology
JF - American Journal of Cardiology
IS - 12 SUPPL. 1
ER -