Coronary artery disease (CAD) Circulatory System Heart patients diagnosed with coronary artery disease and treated by coronary artery bypass graft (CABG) or percutaneous coronary intervention (PCI)
Conditions
Interventions
In 2014, different interventions were implemented in both hospitals included in the study (Catharina Cardiac Centre and SJG Weert), such as modification of patient brochures, implementation of a new p
Sponsors
Catharina Ziekenhuis
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18 years and older 2. Diagnosed with coronary artery disease 3. Referred from other hospitals to Catharina Cardiac Centre and back for coronary artery bypass graft (CABG) or percutaneous coronary intervention (PCI) between 2011 and 2016 AND/OR referred from the hospital SJG Weert to Catharina Cardiac Centre in the year 2013 and in the period January until September 2015
Exclusion criteria
Exclusion criteria: 1. Treated with combined treatments, such as aortic valve replacement in combination with CABG 2. Not referred from another hospital
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measures 1-4 were assessed from electronic health records and cardiac databases of both hospitals within 30 days after the interventions: 1. Mortality 2. Deep sternal wound infection (DSWI) 3. Surgical re-exploration 4. Myocardial infarction 5. 120 day mortality, assessed from electronic health records and cardiac databases of both hospitals 120 days after the interventions 6. Urgent coronary artery bypass graft (CABG) within 24 hours, assessed from the electronic health records of the Catharina Cardiac Centre 7. Cerebrovascular accidents (CVA) within 72 hours, assessed from the electronic health records of the Catharina Cardiac Centre | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Degree of patient satisfaction, assessed several months after patients were treated in the heart centre (this differs between each patient, ranging from 14 days to 5 months after treatment) using self-administered questionnaires, consisting of 28 items regarding: 1.1. Communication with the hospital (2 items) 1.2. Communication between the hospitals and the patient's general practitioner (2 items) 1.3. Education and education material (4 items) 1.4. Consistency and compatibility between the two hospitals (2 items) 1.5. Access time (2 items) 1.6. Quality of care (4 items) 1.7. Unexpected events and complications (3 items) 1.8. Hospital stay (4 items) 1.9. Personal contact with physician in both hospitals (2 items) 1.10. An overall grade from 1-10 2. Process and structure, regarding the following, assessed using indicators commonly used in quality inspections by the Dutch Association of Cardiologists (NVVC) and European Society of Cardiology (ESC) (such as the KISZ survey of the Dutch Association of Internists and standard operating procedures), before (in 2013) and after (in 2015) the implementation of the interventions: 2.1. Organisation 2.2. Cooperation 2.3. Outpatient clinic 2.4. Echo and ergometry 2.5. Coronary care unit 2.6. Cardiac catheterisation lab | — |
Countries
Netherlands
Outcome results
None listed