Transcript Diapositivo 1

protocol presentation
Class 12
Heart Failure
introduction
This study will analyze certain aspects related
introduction
with heart failure in different Portuguese
hospitals
Use of Inpatient Quality Indicators (IQI´s)
allows the evaluation of the quality of care
provided by the hospitals
GDH
Database:
national
database
containing administrative data of the various
hospitals
Analyse outcome
measures associated with
heart failure in
Portuguese hospitals
aims
Analyse medical
procedures during the
patients´ in-stay
aim
Comparison between
hospitals dividing them in
two groups
participants and methods
participants and
methods
Descriptive and retrospective study
Division of the hospitals in two groups:
Group1: central hospitals
Group2: peripheral hospitals
Selection of all cases that present the
main diagnostic as heart failure
(represented by the ICD-9 code 428)
Patients under 18 years old and
transferred patients will be excluded
Variables: age, sex, in-stay period,
outcome, medical procedures adopted,
in-hospital mortality
expected results
expected results
Heart Failure’s Incidence
-it is expected a growing incidence of heart failure over
the years
Heart Failure Mortality
-better processes of care may reduce short-term
mortality, which represent better quality
-it is estimated to be higher in central hospitals rather
than in peripheral hospitals
In-stay Period
-lower length of stay generally consists in a better quality
of care;
-is expected to be longer in central hospitals
Quality of care
-it is expected to be better in central hospitals
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