Cardio-oncology & other

Cardiovascular Risk Assessment as a Quality Measure in the Pregnancy and Postpartum Period

JACC AdvPublished Implementation feasibility study

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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