The prognostic value of the ESC quality indicators in patients with acute myocardial infarction: a systematic review

Abstract Background Quality indicators (QIs) provide a mechanism for measuring opportunities to improve cardiovascular care and outcomes. To help improving quality of in patients with acute myocardial infarction (AMI), the European Society Cardiology (ESC) set 20 QIs evaluate several dimensions care. These are organized 3 areas 7 domain defined structural, performance measures including patient's feedback Several registries have reported their using real-world data, some them prognostic value. For this purpose, we systematically reviewed literature evaluating 2017 ESC ACVC previous observational studies, aim summarise Methods A systematic review PubMed Web Science was conducted all original articles reporting use AMI patients. Inclusion criteria were studies providing (STEMI or NSTEMI). The main exclusion criterion non-original different QIs. Adjusted estimates (odds hazard ratio) association between mortality used report value Results Among de 220 screened citations, 9 met inclusion after full-text review. these there 11 cohorts. Patients recruited from continents (31 countries) 2003 2018. been three cohorts: EPICOR, FAST-MI MINAP. EPICOR evaluated 15 2-year mortality, whereas relationship 30-day MINAP 3-year mortality. In general, higher compliance associated better prognosis most (Figure 1). (1.3, 3.1, 3.2, QI 6) not any study, is therefore unknown date. Composite QIs, which combine individual domains 1–6 multiple care, comparisons (7.1 tested 7.2 only EPICOR). Conclusions Our has shown consistent attainment decreased cohorts that association. data support as useful tool assessing across centres countries. There need design surveys specifically more accurate picture about implementation Funding Acknowledgement Type funding sources: None. Figure 1