Completion of registration of risk factor variables during telephone vs on-site follow-up after myocardial infarction: a nationwide observational study in 101 199 patients from contemporary clinical practice in Sweden
Objectives The objective of this study was to assess the completeness of registration of secondary preventive variables comparing on-site visits with telephone consultations during follow-up after myocardial infarction.Design This was an observational study based on the Swedish quality registry SWED...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e087881.full |
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| author | Maria Bäck Margret Leosdottir Emil Hagström Nermin Hadziosmanovic Halldora Ögmundsdottir Michelsen Mattias Ekström |
| author_facet | Maria Bäck Margret Leosdottir Emil Hagström Nermin Hadziosmanovic Halldora Ögmundsdottir Michelsen Mattias Ekström |
| author_sort | Maria Bäck |
| collection | DOAJ |
| description | Objectives The objective of this study was to assess the completeness of registration of secondary preventive variables comparing on-site visits with telephone consultations during follow-up after myocardial infarction.Design This was an observational study based on the Swedish quality registry SWEDEHEART.Setting and outcome measures We analysed the proportion of missing values for major secondary preventive target data registered at the 2-month and 1-year follow-up visits, during 2006–2022 (n=101 199). χ2 tests were used to compare differences in data registration comparing on-site visits with telephone consultations. Patient characteristics and time trends in the proportion of missing values were also analysed.Results Baseline characteristics for patients with on-site visits and telephone consultations were similar. At the 2-month follow-up, the proportion of missing data registered at on-site visits compared with telephone consultations was systolic blood pressure 2.4% (n=1729) vs 28.0% (n=5462), low-density lipoprotein cholesterol 9.1% (n=6525) vs 32.6% (n=6360), weight 20.1% (n=14 343) vs 43.0% (n=8401) and haemoglobin A1c for patients with diabetes mellitus 39.4% (n=4594) vs 69.4% (n=2225), p for all <0.0001. The differences were similar at the 1-year follow-up. Self-reported measures such as smoking status, level of physical activity and current medication had a low proportion of missing data (≤2.1%) for both follow-up modalities.Conclusion Registration of secondary preventive variables was less complete at telephone consultations compared with on-site cardiac rehabilitation follow-up visits, which might indicate lower quality of care during telephone follow-up. Further analysis on the possible impact of lack of registration of secondary preventive variables on patient outcomes is warranted. |
| format | Article |
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| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-bee002c653654218aee2a99198892a9b2025-01-09T14:55:09ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-087881Completion of registration of risk factor variables during telephone vs on-site follow-up after myocardial infarction: a nationwide observational study in 101 199 patients from contemporary clinical practice in SwedenMaria Bäck0Margret Leosdottir1Emil Hagström2Nermin Hadziosmanovic3Halldora Ögmundsdottir Michelsen4Mattias Ekström53 Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, Linkoping, Sweden1 Department of Clinical Sciences, Lund University, Malmö, Sweden6 Uppsala Clinical Research Center, Uppsala, Sweden6 Uppsala Clinical Research Center, Uppsala, Sweden1 Department of Clinical Sciences, Lund University, Malmö, Sweden5 Division of Cardiovascular Medicine, Department of Clinical Sciences, Danderyd University Hospital, Stockholm, SwedenObjectives The objective of this study was to assess the completeness of registration of secondary preventive variables comparing on-site visits with telephone consultations during follow-up after myocardial infarction.Design This was an observational study based on the Swedish quality registry SWEDEHEART.Setting and outcome measures We analysed the proportion of missing values for major secondary preventive target data registered at the 2-month and 1-year follow-up visits, during 2006–2022 (n=101 199). χ2 tests were used to compare differences in data registration comparing on-site visits with telephone consultations. Patient characteristics and time trends in the proportion of missing values were also analysed.Results Baseline characteristics for patients with on-site visits and telephone consultations were similar. At the 2-month follow-up, the proportion of missing data registered at on-site visits compared with telephone consultations was systolic blood pressure 2.4% (n=1729) vs 28.0% (n=5462), low-density lipoprotein cholesterol 9.1% (n=6525) vs 32.6% (n=6360), weight 20.1% (n=14 343) vs 43.0% (n=8401) and haemoglobin A1c for patients with diabetes mellitus 39.4% (n=4594) vs 69.4% (n=2225), p for all <0.0001. The differences were similar at the 1-year follow-up. Self-reported measures such as smoking status, level of physical activity and current medication had a low proportion of missing data (≤2.1%) for both follow-up modalities.Conclusion Registration of secondary preventive variables was less complete at telephone consultations compared with on-site cardiac rehabilitation follow-up visits, which might indicate lower quality of care during telephone follow-up. Further analysis on the possible impact of lack of registration of secondary preventive variables on patient outcomes is warranted.https://bmjopen.bmj.com/content/15/1/e087881.full |
| spellingShingle | Maria Bäck Margret Leosdottir Emil Hagström Nermin Hadziosmanovic Halldora Ögmundsdottir Michelsen Mattias Ekström Completion of registration of risk factor variables during telephone vs on-site follow-up after myocardial infarction: a nationwide observational study in 101 199 patients from contemporary clinical practice in Sweden BMJ Open |
| title | Completion of registration of risk factor variables during telephone vs on-site follow-up after myocardial infarction: a nationwide observational study in 101 199 patients from contemporary clinical practice in Sweden |
| title_full | Completion of registration of risk factor variables during telephone vs on-site follow-up after myocardial infarction: a nationwide observational study in 101 199 patients from contemporary clinical practice in Sweden |
| title_fullStr | Completion of registration of risk factor variables during telephone vs on-site follow-up after myocardial infarction: a nationwide observational study in 101 199 patients from contemporary clinical practice in Sweden |
| title_full_unstemmed | Completion of registration of risk factor variables during telephone vs on-site follow-up after myocardial infarction: a nationwide observational study in 101 199 patients from contemporary clinical practice in Sweden |
| title_short | Completion of registration of risk factor variables during telephone vs on-site follow-up after myocardial infarction: a nationwide observational study in 101 199 patients from contemporary clinical practice in Sweden |
| title_sort | completion of registration of risk factor variables during telephone vs on site follow up after myocardial infarction a nationwide observational study in 101 199 patients from contemporary clinical practice in sweden |
| url | https://bmjopen.bmj.com/content/15/1/e087881.full |
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