Cardiovascular Risk Assessment as a Quality Measure in the Pregnancy and Postpartum Period
Authors' conclusion
This innovative population-based approach for universal CVD risk assessment during pregnancy is feasible
Study context
- Population
- Pregnant and/or postpartum patients at 3 large US hospital networksnetworks serving >14,000 patients
- Outcome
- Percentage of patients screened for CVD risk and follow-up rate after positive screen
Methodological detailsmulticentre, 3 hospital networks, 23 sites, California Maternal Quality Care Collaborative cardiovascular disease (CVD) risk assessment algorithm implemented in electronic health records
- Multicentre
- 3 hospital networks, 23 sites
- California Maternal Quality Care Collaborative CVD risk assessment algorithm implemented in electronic health records
Main finding
As reported in the abstract
Rate of patients screened for CVD risk in the 3 hospital networks
57.1%, 71.5%, and 98.7%
Follow-up rates after positive screen in the 3 networks
65.8%, 72.5%, and 55.9%
Further findings
Screening and follow-up by site characteristics
- Rates of screening and follow-up varied by clinic size and specialty
Clinician-identified barriers
- Busy clinics, competing priorities, type of clinical practice
Original publication
Cardiovascular Risk Assessment as a Quality Measure in the Pregnancy and Postpartum Period. JACC Adv. Published 27 January 2023. doi:10. 1016/ j. jacadv. 2022. 100176
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