Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10708
Title: Northern Territory Heart Failure Initiative-Clinical Audit (NTHFI-CA)-a prospective database on the quality of care and outcomes for acute decompensated heart failure admission in the Northern Territory: study design and rationale.
Authors: Iyngkaran, Pupalan
Tinsley, Jeff
Smith, David
Haste, Mark
Nadarajan, Kangaharan
Ilton, Marcus
Battersby, Malcolm
Stewart, Simon
Brown, Alex
Affiliation: Department of Cardiology, Royal Darwin Hospital, Tiwi, Northern Territory, Australia..
Issue Date: 29-Jan-2014
Citation: BMJ open 2014-01-29; 4(1): e004137
Abstract: Congestive heart failure is a significant cause of morbidity and mortality in Australia. Accurate data for the Northern Territory and Indigenous Australians are not presently available. The economic burden of this chronic cardiovascular disease is felt by all funding bodies and it still remains unclear what impact current measures have on preventing the ongoing disease burden and how much of this filters down to more remote areas. Clear differentials also exist in rural areas including a larger Indigenous community, greater disease burden, differing aetiologies for heart failure as well as service and infrastructure discrepancies. It is becoming increasingly clear that urban solutions will not affect regional outcomes. To understand regional issues relevant to heart failure management, an understanding of the key performance indicators in that setting is critical. The Northern Territory Heart Failure Initiative-Clinical Audit (NTHFI-CA) is a prospective registry of acute heart failure admissions over a 12-month period across the two main Northern Territory tertiary hospitals. The study collects information across six domains and five dimensions of healthcare. The study aims to set in place an evidenced and reproducible audit system for heart failure and inform the developing heart failure disease management programme. The findings, is believed, will assist the development of solutions to narrow the outcomes divide between remote and urban Australia and between Indigenous and Non-Indigenous Australians, in case they exist. A combination of descriptive statistics and mixed effects modelling will be used to analyse the data. This study has been approved by respective ethics committees of both the admitting institutions. All participants will be provided a written informed consent which will be completed prior to enrolment in the study. The study results will be disseminated through local and international health conferences and peer reviewed manuscripts.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10708
DOI: 10.1136/bmjopen-2013-004137
ISSN: 2044-6055
Type: Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Subjects: Clinical audit < Health Services Administration & Management
Epidemiology
Acute Disease
Databases, Factual
Heart Failure
Humans
Northern Territory
Patient Admission
Prospective Studies
Research Design
Treatment Outcome
Clinical Audit
Quality of Health Care
Appears in Collections:NT Health digital library

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