心力衰竭的质量度量-使用改进的德尔菲过程的指南驱动指标开发及其对当代日本实践的适用性。

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Circulation Journal Pub Date : 2025-03-25 Epub Date: 2025-02-14 DOI:10.1253/circj.CJ-24-0971

Takahiro Suzuki, Takeshi Kitai, Takashi Kohno, Shun Kohsaka, Atsushi Mizuno

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引用次数: 0

摘要

背景：评估质量指标（QIs）在心力衰竭（HF）护理中的适用性对于解决实践变异性和通过及时将指南建议转化为QIs来改善结果至关重要。方法和结果：一个由12名成员组成的多学科小组使用德尔菲调查（1-9量表）评估了国际指南中的35项心衰护理指标。33项指标（94.3%）达成共识（中位数≥7），但植入式心律转复除颤器相关项目未达成共识。与器械相关的指标显示，在使国际标准与日本临床情况保持一致方面存在挑战。结论：本研究认为国际HF QIs普遍适用于日本，但与器械相关的QIs需要进一步考虑。

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Quality Metrics for Heart Failure　- A Guideline-Driven Indicator Development Using a Modified Delphi Process and Its Applicability to Contemporary Japanese Practice.

Background: Evaluating the applicability of quality indicators (QIs) for heart failure (HF) care is crucial to addressing practice variability and improving outcomes by promptly translating guideline recommendations into QIs.

Methods and results: A 12-member multidisciplinary panel assessed 35 HF care indicators from international guidelines using a Delphi survey (1-9 scale). Consensus (median ≥7) was achieved for 33 indicators (94.3%), but not for implantable cardioverter-defibrillator-related items. Device-related indicators revealed challenges in aligning international standards with the Japanese clinical context.

Conclusions: The study concluded that international HF QIs are generally applicable in Japan, though device-related QIs need further consideration.

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来源期刊

Circulation Journal 医学-心血管系统

CiteScore

5.80

自引率

12.10%

发文量

471

审稿时长

1.6 months

期刊介绍： Circulation publishes original research manuscripts, review articles, and other content related to cardiovascular health and disease, including observational studies, clinical trials, epidemiology, health services and outcomes studies, and advances in basic and translational research.