Abstract 3123: Atherosclerosis Secondary Prevention Performance Measures After Coronary Bypass Graft Surgery Compared with Percutaneous Catheter Intervention and Non-Intervention Patients In the Get with the Guidelines Database
Background: The American Heart Association’s (AHA) Get with the Guidelines (GWTG) program facilitates patient and physician compliance with proven atherosclerosis risk reduction strategies with tool kits and teaching materials, pre-discharge check lists, and performance measures (PM) feedback for continuous quality improvement. Patients (pts) having coronary artery bypass graft surgery (CABG) may be subject to different care processes (nursing unit pathways and personnel) than pts having percutaneous catheter intervention (PCI) or neither intervention (NI) which may affect PM.
Methods: The GWTG database was queried to determine whether PM for CABG pts is different than for non-surgical pts.
Results: Of 119,106 pts, 14,118 had CABG, 58,702 had PCI, 46,286 had NI. PM for discharge drugs and education as % of eligible pts is tabulated:
Conclusions: There are significant differences and opportunities for improvement for secondary prevention PM for CABG pts compared with PCI pts which may be explained by care process differences.