ArticleActa Cardiologica Sinica2020
Effects of National Hospital Accreditation in Acute Coronary Syndrome on In-Hospital Mortality and Clinical Outcomes.
Article in Acta Cardiologica Sinica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- JCI Accreditation and Outpatient Surgery: A Scoping Review of Evidence on Healthcare Quality, Risk Management, and Policy.Healthcare (Basel, Switzerland) · 2026Review
- Exploring the impact of national laboratory accreditation on quality and practices: a qualitative study from a government medical college in western India.BMC health services research · 2025Article
- Lipoprotein(a) is Associated with Cardiovascular Events in Low Risk Males: Results from a Health Checkup Cohort with Long-Term Follow-Up.Acta Cardiologica Sinica · 2022Article
- Cardiogenic shock in Taiwan from 2003 to 2017 (CSiT-15 study).Critical care (London, England) · 2021Article
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13 authors.
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Abstract
backgroundAcute coronary syndrome (ACS) is a life-threatening medical condition that accounts for an annual expenditure of more than $300 billion in the United States. Hospital accreditation has been shown to improve patient and hospital outcomes for various conditions.
objectivesThis study aimed to determine the benefits of hospital accreditation in patients with ACS.
methodsThis nationwide population-based cohort study used Taiwan's National Health Insurance Research Database from 1997 to 2011 (n = 249,354). Multivariable logistic regression was used to analyze the risk of in-hospital events among those treated in accredited and non-accredited hospitals, and to compare outcomes in hospitals before and after accreditation. The effect of accreditation on these events was also stratified by accreditation grade.
resultsA total of 823 hospitals were included, of which 2.4% were medical centers, 13.7% were regional hospitals, and 83.8% were district hospitals. The in-hospital mortality [odds ratio (OR), 0.82; 95% confidence interval (CI), 0.79-0.85; p < 0.001] and recurrent acute myocardial infarction (AMI) admission (OR, 0.81; 95% CI, 0.71-0.93; p = 0.003) rates were significantly lower in the after-accreditation group than in the before-accreditation group. There was a substantial and marked decrease in the in-hospital mortality rate after accreditation in 2008.
conclusionsThis cohort study demonstrated that ACS accreditation was associated with better in-hospital mortality and recurrent AMI admission rates in ACS patients.
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