ArticleHeart (British Cardiac Society)2004
Improving care for patients with acute coronary syndromes: initial results from the National Audit of Myocardial Infarction Project (MINAP).
Article in Heart (British Cardiac Society), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01359033 (Compare the Patient Risk and Between-hospital Variation in Myocardial Infarction Mortality in the United Kingdom and Sweden), which is not on this map. Cited by 30 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Compare the Patient Risk and Between-hospital Variation in Myocardial Infarction Mortality in the United Kingdom and Sweden
Who cites it
30 citing papers in PubMed, 103 citations in OpenAlex.
- Improving care after myocardial infarction using a 2-year internet-delivered intervention: the Department of Veterans Affairs myocardial infarction-plus cluster-randomized trial.Archives of internal medicine · 2011Trial
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- How do healthcare providers use national audit data for improvement?BMC health services research · 2023Article
- Care in Europe after presenting to the emergency department with a seizure; position paper and insights from the European Audit of Seizure Management in Hospitals.European journal of neurology · 2022Article
- Exploring variation in the use of feedback from national clinical audits: a realist investigation.BMC health services research · 2020Article
- Article
- Requirements for a quality dashboard: Lessons from National Clinical Audits.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019Article
- Relationship Between Anemia and Mortality Outcomes in a National Acute Coronary Syndrome Cohort: Insights From the UK Myocardial Ischemia National Audit Project Registry.Journal of the American Heart Association · 2016Article
- Angina at Low heart rate And Risk of imminent Myocardial infarction (the ALARM study): a prospective, observational proof-of-concept study.BMC cardiovascular disorders · 2015Observational
- National Audit of Seizure management in Hospitals (NASH): results of the national audit of adult epilepsy in the UK.BMJ open · 2015Article
- Audit of diabetic foot care services--a timely initiative.Diabetic medicine : a journal of the British Diabetic Association · 2015Article
- Clinical disease registries in acute myocardial infarction.World journal of cardiology · 2014Review
- Acute myocardial infarction: a comparison of short-term survival in national outcome registries in Sweden and the UK.Lancet (London, England) · 2014Article
- Development and course of heart failure after a myocardial infarction in younger and older people.Journal of geriatric cardiology : JGC · 2014Article
- Long-term exposure to air pollution is associated with survival following acute coronary syndrome.European heart journal · 2013Article
- Statistical profiling of hospital performance using acute coronary syndrome mortality.Cardiovascular journal of Africa · 2012Article
- Secondary revascularization after CABG surgery.Nature reviews. Cardiology · 2012Review
- The Myocardial Ischaemia National Audit Project (MINAP).Heart (British Cardiac Society) · 2010Article
- What would it take to improve the quality of healthcare: more money, or more data?Clinical medicine (London, England) · 2009Article
- Is there still a place for emergency department thrombolysis following the introduction of the amended Joint Royal Colleges Ambulance Liaison Committee criteria for thrombolysis?Emergency medicine journal : EMJ · 2007Article
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the improvements in care that have followed the introduction of an electronic data entry and analysis system providing contemporary feedback on the management of acute coronary syndromes in 230 hospitals in England and Wales.
designObservational study
methodsA secure electronic system was used to transfer encrypted data on patients with acute coronary syndromes from collaborating hospitals to central servers for analysis. Immediate online data entry to the central servers by hospitals allowed contemporary analyses of performance and immediate comparison with the national aggregate performance.
resultsThe records of 156 902 patients receiving a final diagnosis of acute coronary syndrome during three years between October 2000 and September 2003 were analysed. Of 69 113 patients with ST segment elevation infarction, 75.4% received thrombolytic treatment. Between the first and last years of the study the median interval from hospital arrival to treatment fell for eligible patients from 38 (interquartile range 22-58) to 20 (interquartile range 14-28) minutes. By mid 2003 77.6% were receiving thrombolytic treatment within 30 minutes of arrival. The proportion treated within two hours of onset of symptoms increased from 32.5% to 40.3% (a difference of 7.8 percentage points, p < 0.0001). The use of secondary prevention medication for acute coronary syndromes increased over this period: angiotensin converting enzyme inhibitors, 62.4% to 72.4%; beta blockers, 76.3% to 82.6%; statins, 69.6% to 83.8%; and aspirin, 89.3% to 90.2%.
conclusionThe provision of contemporary online performance analyses has underpinned substantial improvement in the care of patients with acute coronary syndromes.
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