Skip to main content
. 2022 Nov 28;19(11):930–936. doi: 10.11909/j.issn.1671-5411.2022.11.012

Table 3. Performance measures in elderly according intervention group.

Quality markers according European Society of Cardiology (ESC 2017) Quality of Care Working Group’s consensus on quality Elderly
Before intervention After Intervention P
ACE-I: angiotensin converting enzyme inhibitors; AMI: acute myocardial infarction; DAPT: dual antiplatelet therapy; LVEF: left ventricular ejection fraction.
2. Reperfusion strategy
 2.1 Proportion of patients with STEMI arriving in the first 12 hours who receiving reperfusion therapy 50/91 70/113 0.31
  2.2 For patients treated with fibrinolysis: <30 min from diagnosis to the needle 2/50 11/70 0.04
4. In-hospital antithrombotic drugs
 4.1. Number of patients eligible for in-hospital antithrombotic therapies who received ≥ 1 therapies. 101/101 123/123 1.0
 4.2. Dual antiplatelet therapy 93/101 114/123 0.86
5. Secondary prevention discharge treatment
  5.1 Proportion of patients with AMI discharged on statins, unless contraindicated 66/80 103/105 ≤ 0.01
 5.2 Proportion of patients with LVEF equal or less to 40% or clinical evidence of heart failure, with betablocker prescribed at discharge 13/17 13/17 1.0
 5.3 Proportion of patients with LVEF equal or less to 40% or clinical evidence of heart failure, with ACE inhibitor prescribed at discharge 15/17 17/17 0.14
  5.4 Proportion of patients with smoking cessation advice at discharge 23/35 42/45 0.02
 5.5 Proportion of patients enrolled in secondary prevention programs 10/70 17/105 0.73
7. Outcome measures
 In-hospital mortality rate 21/101 18/123 0.22
 30-day adjusted readmission rate 3/101 3/123 0.8
8. Composite quality indicator
 Proportion of patients with LVEF equal or less to 40% or clinical evidence of heart failure, with DAPT and statins prescribed at discharge 15/17 17/17 0.14
 Proportion of patients with LVEF equal or less to 40% or clinical evidence of heart failure, with betablocker, ACE-I, DAPT, and statins prescribed at discharge 12/17 13/17 0.69