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Submitted: 16 April 2019 Modified: 16 April 2019
HERDIN Record #: 100731-19041517262039

Association of the Compliance of Health Care Providers at the Philippine Heart Center to the Class I ACC/AHA Guidelines on the Diagnosis and Management of Patients with Acute Coronary Syndromes with In-Hospital All-Cause Mortality.

Kris Laura L. Crucero-Manuel

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Background: International cardiology associations have provided recommendations for acute care in the management of ACS. These recommendations should result in a reduction in mortality. This study was initiated to review the institution's compliance to recommendations as an assessment of its health care providers' care of ACS patients.


Method: Hospital records of 300 patients with a diagnosis of Acute Coronary  Syndrome, ST Elevation Myocardial Infarction, Non-ST Elevation Myocardial Infarction or Unstable Angina admitted between January 2015 to December 2016 were reviewed. A compliance index was determined using the ratio of the number of actual treatments administered to the subject to the number of theoretical treatments applicable to said
subject. In hospital mortality rates were then determined.


Results: Of the 123 STEMI subjects, 8 (6.5%) subjects had compliance indices <70% while 115 (93.5%) had compliance indices &gt;70%. Of the 177 NSTEMI subjects, 21 (11.9%) had compliance indices >70% while 156 (88.1%) had compliance indices <70%. Compliance index was >70% for the over-all population at 85.9, 88.1% for the STEMI group and 84.4% for the NSTEMI group.


Conclusion: There was an association between the over-all compliance of health care providers to the ACC/AHA guidelines on the management of ACS patients CV mortality. A high over-all compliance index is a positive indicator regarding the compliance of the institutions' physicians with guideline recommendations for ACS management. Moreover, due to the findings in this study which are consistent with findings from studies abroad, the importance of adherence to guideline-recommended management was emphasized.

Publication Type
Research Project
Date
LocationLocation CodeAvailable FormatAvailability
Philippine Heart Center Medical Library PHC.R.057.17 Fulltext Print Format