Trends in U.S. Cardiovascular Care: 2016 Report From 4 ACC National Cardiovascular Data Registries

Area of Science:

• Cardiology
• Public Health
• Health Services Research

Background:

• Cardiovascular disease (CVD) remains a primary cause of mortality and morbidity in the U.S.
• National Cardiovascular Data Registry (NCDR) programs are crucial for evaluating care quality and patient outcomes in CVD.
• This report focuses on 2014 data from four key NCDR hospital quality programs.

Purpose of the Study:

• To present demographic and clinical profiles of patients within major NCDR registries.
• To describe characteristics of healthcare centers participating in these quality programs.
• To provide an overview of selected process and outcome measures for cardiovascular care.

Main Methods:

• Analysis of 2014 data from four NCDR programs: CathPCI, ICD Registry, ACTION-GWTG, and IMPACT.
• Data includes procedural volumes, patient numbers, and participating hospital counts for each program.
• Characterization of patient demographics, clinical status, and center-specific data.

Main Results:

• CathPCI: 667,424 procedures across 1,612 hospitals.
• ICD Registry: 158,649 procedures across 1,715 hospitals.
• ACTION-GWTG: 182,903 patients across 907 hospitals.
• IMPACT: 20,169 procedures across 76 hospitals.
• The report details patient and center characteristics and care quality metrics for these diverse cardiovascular interventions.

Conclusions:

• The NCDR programs provide valuable, large-scale data on cardiovascular disease care in the U.S.
• Understanding patient and center characteristics is essential for targeted quality improvement initiatives.
• This data serves as a benchmark for assessing and enhancing cardiovascular care delivery.