Table 20-3.

Time Trends in GWTG-CAD Acute Coronary Syndrome Quality-of-Care Measures, 2006–2009

Quality-of-Care Measure	2006	2007	2008	2009
Aspirin within 24 h of admission*	94.7	92.8	91.2	90.9
Aspirin at discharge*	94.4	95.8	94.9	95.5
β-blockers at discharge*	92.8	94.6	94.5	94.9
Lipid-lowering medication at discharge	84.5	85.6	81.6	86.8
Lipid therapy at discharge if LDL >100 mg/dL*	89.1	90.7	91.9	92.5
ARB/ACEI at discharge for patients with left ventricular ejection fraction <40%*	87.3	91.1	91.9	91.9
ACEI at discharge for AMI patients	72.6	71.0	66.6	65.9
Adult smoking cessation advice/counseling*	94.3	97.4	98.4	98.4
Cardiac rehabilitation referral for AMI patients	71.1	63.6	52.0	49.1

GWTG indicates Get With The Guidelines; LDL, low-density lipoprotein cholesterol; ARB, angiotensin receptor blocker; ACEI, angiotensin-converting enzyme inhibitor; AMI, acute myocardial infarction.

Values are percentages.

GWTG-CAD: Patients admitted with cardiovascular event. In the GWTG-CAD registry. The in-hospital mortality was 4.5% (excludes transfer-out patients; if discharge status was missing, it was assumed to be “no”), and mean length of hospital stay was 5.0 days (median 3.0 days).