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Cardiovascular care facts: a report from the national cardiovascular data registry: 2011
Frederick A Masoudi1, Angelo Ponirakis2, Robert W Yeh3
1Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado; Colorado Cardiovascular Outcomes Research Consortium, Denver, Colorado.
Insights
The National Cardiovascular Data Registry (NCDR) characterizes patients and care across five programs, offering insights into cardiovascular disease (CVD) quality and outcomes. This analysis highlights the registry
Area of Science:
- Cardiovascular medicine and public health research.
- Health services research and quality improvement initiatives.
- Clinical data registries and outcomes analysis.
Background:
- Cardiovascular disease (CVD) remains a primary cause of mortality and morbidity in the U.S.
- Existing quality of care for CVD patients is frequently suboptimal.
- National registry programs like the National Cardiovascular Data Registry (NCDR) are crucial for evaluating care quality and patient outcomes in large CVD populations.
Purpose of the Study:
- To characterize patient demographics, participating centers, and quality of care metrics within five NCDR programs.
- To assess patient outcomes and care processes across different cardiovascular conditions and interventions.
- To provide a comprehensive overview of the National Cardiovascular Data Registry (NCDR) initiatives in 2011.
Main Methods:
- Analysis of data from five NCDR programs in 2011: ACTION Registry-GWTG, CathPCI Registry, CARE Registry, ICD Registry, and PINNACLE Registry.
- Assessment of patient demographics, clinical characteristics, and participating center data.
- Evaluation of process-of-care measures and patient outcomes, including risk-adjusted analyses where applicable.
Main Results:
- In 2011, NCDR programs collectively enrolled over 1.1 million patients across hundreds of hospitals and practices.
- ACTION Registry-GWTG: 119,967 patients; CathPCI: 632,557 patients; CARE: 4,934 patients; ICD Registry: 139,991 patients; PINNACLE: 249,198 patients.
- Performance metrics and patient outcomes data were collected, with some risk-adjusted using validated NCDR models.
Conclusions:
- The NCDR facilitates a deep understanding of large cardiovascular disease patient populations and their care.
- It provides critical insights into the characteristics of healthcare centers providing cardiovascular care.
- The registry is instrumental in evaluating the quality of care and significant patient outcomes in cardiovascular medicine.
Objectives:
The aim of this report was to characterize the patients, participating centers, and measures of quality of care and outcomes for 5 NCDR (National Cardiovascular Data Registry) programs: 1) ACTION (Acute Coronary Treatment and Intervention Outcomes Network) Registry-GWTG (Get With The Guidelines) for acute coronary syndromes; 2) CathPCI Registry for coronary angiography and percutaneous coronary intervention; 3) CARE (Carotid Artery Revascularization and Endarterectomy) Registry for carotid revascularization; 4) ICD Registry for implantable cardioverter defibrillators; and the 5) PINNACLE (Practice INNovation And CLinical Excellence) Registry for outpatients with cardiovascular disease (CVD).
Background:
CVD is a leading cause of death and disability in the United States. The quality of care for patients with CVD is suboptimal. National registry programs, such as NCDR, permit assessments of the quality of care and outcomes for broad populations of patients with CVD.
Methods:
For the year 2011, we assessed for each of the 5 NCDR programs: 1) demographic and clinical characteristics of enrolled patients; 2) key characteristics of participating centers; 3) measures of processes of care; and 4) patient outcomes. For selected variables, we assessed trends over time.
Results:
In 2011 ACTION Registry-GWTG enrolled 119,967 patients in 567 hospitals; CathPCI enrolled 632,557 patients in 1,337 hospitals; CARE enrolled 4,934 patients in 130 hospitals; ICD enrolled 139,991 patients in 1,435 hospitals; and PINNACLE enrolled 249,198 patients (1,436,328 individual encounters) in 74 practices (1,222 individual providers). Data on performance metrics and outcomes, in some cases risk-adjusted with validated NCDR models, are presented.
Conclusions:
The NCDR provides a unique opportunity to understand the characteristics of large populations of patients with CVD, the centers that provide their care, quality of care provided, and important patient outcomes.
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