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    The Asia-Pacific Evaluation of Cardiovascular Therapies (ASPECT) Collaboration - Improving the quality of cardiovascular care in the Asia Pacific Region

    Access Status
    Fulltext not available
    Authors
    Reid, Christopher
    Yan, B.
    Wan Ahmad, W.
    Bang, L.
    Hian, S.
    Chua, T.
    Chan, M.
    Beltrame, J.
    Duffy, S.
    Brennan, A.
    Ajani, A.
    Date
    2014
    Type
    Journal Article
    
    Metadata
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    Citation
    Reid, C. and Yan, B. and Wan Ahmad, W. and Bang, L. and Hian, S. and Chua, T. and Chan, M. et al. 2014. The Asia-Pacific Evaluation of Cardiovascular Therapies (ASPECT) Collaboration - Improving the quality of cardiovascular care in the Asia Pacific Region. International Journal of Cardiology. 172 (1): pp. 72-75.
    Source Title
    International Journal of Cardiology
    DOI
    10.1016/j.ijcard.2013.12.030
    ISSN
    0167-5273
    School
    Department of Health Policy and Management
    URI
    http://hdl.handle.net/20.500.11937/11789
    Collection
    • Curtin Research Publications
    Abstract

    Background Clinicians and other stakeholders recognize the need for clinical registries to monitor data in order to improve the outcome and quality of care in the delivery of medical interventions. The establishment of a collaboration across the Asia Pacific Region to inform on variations in patient and procedural characteristics and associated clinical outcomes would enable regional benchmarking of quality. Aims & methods The aims of the collaboration are a) to identify the characteristics of patients undergoing PCI across the Asia Pacific region, b) to report on outcomes of patients undergoing PCI, c) to develop an appropriate ethnic and region specific risk adjustment model for patients undergoing PCI and d) to establish a registry framework for research, education and training in the area of cardiovascular interventions across the Asia Pacific Region. Descriptive characteristics of patient undergoing PCI over a 12 month period were collated and reported. Results Representatives from 27 hospitals attended the inaugural meeting with interested parties from Australia, Singapore, Malaysia and Hong Kong. In every country, males predominated PCI activity. Subjects were older and had higher rates of family history of cardiovascular disease in Australia, while Asian subjects had higher rates of diabetes, dyslipidemia and renal failure. STEMI presentation was higher in Australia than in Asia and drug eluting stent use was higher in Asia. Procedural success rates were similar across the region (> 95%). Conclusions Procedural success was similar across the region despite differing patient characteristics across countries in terms of pre-procedural risk factors and clinical presentation. © 2013 Elsevier Ireland Ltd.

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