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Télécharger le supplément (250 p.) - KCE

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<strong>KCE</strong> Reports 85 S Médecine à l’acte/médecine au forfait – ANNEXES 7<br />

29. The percentage of patients with<br />

coronary heart disease who have a<br />

record of influenza vaccination in the<br />

preceeding 1 September to 31 march<br />

36 OUI Voir vaccinations.<br />

Tab<strong>le</strong>au 2: Indicateurs spécifiques aux antécédents d’infarctus.<br />

Indicator Réf Mesurab<strong>le</strong><br />

a priori<br />

1. Record that low-dose ASA and<br />

beta-blockers, if not contraindicated,<br />

are prescribed routinely to myocardial<br />

infarction survivors regard<strong>le</strong>ss of age or<br />

sex<br />

2. Rates of prescribing of betablockers<br />

for patients admitted to<br />

hospital for AMI or angina<br />

( prior to the study): 6 months after<br />

discharge<br />

(target standard: implicit 100%)<br />

3. Prescribing of beta-blockers:<br />

target standards: 100% of patients with<br />

recent AMI and no contraindication<br />

4. Drug therapy: beta-blockers:<br />

target standards : implicit 100% when<br />

patients < 2 years post AMI with no<br />

contraindications<br />

5. Patients with a history of acute<br />

MI should be currently prescribed a<br />

beta-blocking drug indefinitely, un<strong>le</strong>ss<br />

specific contraindications exist<br />

6. Risk factor recording in previous<br />

year for post-MI patients : cho<strong>le</strong>sterol<br />

1,2,3,7,8 Aspirine:<br />

non<br />

Beta-bloq:<br />

oui<br />

Measure to ask Comment<br />

Beta-blockers<br />

prescription for<br />

patiens with<br />

antecedent of<br />

infarction:<br />

- Among patients<br />

with antecedent of<br />

infarction, number of<br />

patients treated with<br />

beta-blockers<br />

- Dates of<br />

prescriptions of betablockers<br />

- (+ dates of<br />

thrombolysis or of<br />

stenting)<br />

8 OUI Measure of<br />

cho<strong>le</strong>sterol for<br />

patients with<br />

antecedent of<br />

infarction:<br />

- Number of times<br />

that cho<strong>le</strong>sterol has<br />

been measured for<br />

patients with<br />

antecedent of<br />

infarction<br />

- Number of patients<br />

with antecedent of<br />

infarction for which<br />

cho<strong>le</strong>sterol has been<br />

measured<br />

- Time between the<br />

measures of<br />

cho<strong>le</strong>sterol<br />

? 6 mois après la sortie de<br />

l’hôpital<br />

? recent<br />

délai

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