作者: Robert P. Giugliano , Donald M. Lloyd-Jones , Carlos A. Camargo , Martin A. Makary , Christopher J. O'Donnell
DOI: 10.1001/ARCHINTE.160.12.1775
关键词:
摘要: Background An unstable angina guideline was published in 1994 by the Agency for Health Care Policy and Research, Bethesda, Md. However, relationship between guideline-concordant care patient outcomes is unknown. Objective To determine whether associated with improved outcomes. Methods The study sample consisted of 275 consecutive nonreferral patients hospitalized primary angina. One-year survival free myocardial infarction were compared who received concordant 8 selected recommendations discordant care. Results key 1-year (95% vs 81%; log-rankP Conclusions as outlined clinical practice Subgroups at highest risk firmly based on randomized trial data most strongly better These findings support use an evidence-based approach to development assessment quality