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Hospital variation and characteristics of implantable cardioverter-defibrillator use in patients with heart failure: data from the GWTG-HF (Get With The Guidelines-Heart Failure) registry.

Publication ,  Journal Article
Shah, B; Hernandez, AF; Liang, L; Al-Khatib, SM; Yancy, CW; Fonarow, GC; Peterson, ED; Get With The Guidelines Steering Committee,
Published in: J Am Coll Cardiol
February 3, 2009

OBJECTIVES: The aim of this study was to describe hospital variation and factors associated with adherence to guidelines for implantable cardioverter-defibrillator (ICD) therapy. BACKGROUND: Studies have shown incomplete application of ICD therapy in eligible heart failure (HF) patients. METHODS: New or discharge prescription rates for ICD therapy (ejection fraction or= 0.05) were similar across ICD, whereas higher ICD-rate hospitals had higher adherence to GWTG-HF performance measures (beta-blocker use, evidence-based beta-blocker use, aldosterone-antagonist, hydralazine/nitrate; p < 0.05) except warfarin in patients with atrial fibrillation (p = 0.18). CONCLUSIONS: There is significant unexplained hospital variation in the use of ICD therapy among potentially eligible HF patients. However, hospitals that use ICD therapy more often also have more rapidly adopted other newer evidence-based HF therapies.

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Published In

J Am Coll Cardiol

DOI

EISSN

1558-3597

Publication Date

February 3, 2009

Volume

53

Issue

5

Start / End Page

416 / 422

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Registries
  • Quality of Health Care
  • Middle Aged
  • Male
  • Humans
  • Hospitals
  • Heart Failure
  • Guideline Adherence
  • Female
 

Citation

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Shah, B., Hernandez, A. F., Liang, L., Al-Khatib, S. M., Yancy, C. W., Fonarow, G. C., … Get With The Guidelines Steering Committee, . (2009). Hospital variation and characteristics of implantable cardioverter-defibrillator use in patients with heart failure: data from the GWTG-HF (Get With The Guidelines-Heart Failure) registry. J Am Coll Cardiol, 53(5), 416–422. https://doi.org/10.1016/j.jacc.2008.09.045
Shah, Bimal, Adrian F. Hernandez, Li Liang, Sana M. Al-Khatib, Clyde W. Yancy, Gregg C. Fonarow, Eric D. Peterson, and Eric D. Get With The Guidelines Steering Committee. “Hospital variation and characteristics of implantable cardioverter-defibrillator use in patients with heart failure: data from the GWTG-HF (Get With The Guidelines-Heart Failure) registry.J Am Coll Cardiol 53, no. 5 (February 3, 2009): 416–22. https://doi.org/10.1016/j.jacc.2008.09.045.
Shah, Bimal, et al. “Hospital variation and characteristics of implantable cardioverter-defibrillator use in patients with heart failure: data from the GWTG-HF (Get With The Guidelines-Heart Failure) registry.J Am Coll Cardiol, vol. 53, no. 5, Feb. 2009, pp. 416–22. Pubmed, doi:10.1016/j.jacc.2008.09.045.
Shah B, Hernandez AF, Liang L, Al-Khatib SM, Yancy CW, Fonarow GC, Peterson ED, Get With The Guidelines Steering Committee. Hospital variation and characteristics of implantable cardioverter-defibrillator use in patients with heart failure: data from the GWTG-HF (Get With The Guidelines-Heart Failure) registry. J Am Coll Cardiol. 2009 Feb 3;53(5):416–422.
Journal cover image

Published In

J Am Coll Cardiol

DOI

EISSN

1558-3597

Publication Date

February 3, 2009

Volume

53

Issue

5

Start / End Page

416 / 422

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Registries
  • Quality of Health Care
  • Middle Aged
  • Male
  • Humans
  • Hospitals
  • Heart Failure
  • Guideline Adherence
  • Female