A Tailored, Bundle Care Intervention Strategy to Reduce Cardiac Mortality During the Hajj: A Population-Based, Before and After Study
Background: Hajj is the largest human gathering with over 2 million people. We evaluated the effect of bundle care intervention on mortality. Methods: A population-based, before and after study compared the effect of an intervention on mortality. The intervention included recruitment of cardiac team...
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| Veröffentlicht in: | Angiology 2019-07, Vol.70 (6), p.547-553 |
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| creator | Al Faraidy, Khalid A. Thalib, Lukman Al Shammeri, Owayed Bokhari, Fayez Hersi, Ahmad Alfaleh, Hussam Kashour, Tarek |
| description | Background:
Hajj is the largest human gathering with over 2 million people. We evaluated the effect of bundle care intervention on mortality.
Methods:
A population-based, before and after study compared the effect of an intervention on mortality. The intervention included recruitment of cardiac team, introducing 24/7 catheterization service, cardiac coordination, standardized cardiac care pathways, and establishment of an effective transportation system.
Results:
Cardiac mortality accounted for about 52% of all in-hospital deaths before intervention in 2009. This decreased significantly to 43.3%, 32.5%, and 19.7% in 2009, 2010, and 2011, respectively. In-hospital mortality of acute coronary syndromes was 4.7%, 4.6%, and 3.0%, in the years 2009, 2010, and 2011, respectively. Mortality due to other causes remained largely unaffected. There was no significant change in the national mortality due to cardiac causes over the same period provided a reassurance that the observed improvement in in-hospital acute coronary syndrome mortality was not due to overall improvement in health care. The numbers of cardiac catheterization procedures increased 3-fold and cardiac surgical procedures increased 5-fold between 2009 and 2011.
Conclusions:
In this study, we found that an evidence-based intensive bundle care intervention substantially reduced the cardiac mortality among the pilgrims assembling for Hajj in Makkah. |
| doi_str_mv | 10.1177/0003319718822630 |
| format | Article |
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Hajj is the largest human gathering with over 2 million people. We evaluated the effect of bundle care intervention on mortality.
Methods:
A population-based, before and after study compared the effect of an intervention on mortality. The intervention included recruitment of cardiac team, introducing 24/7 catheterization service, cardiac coordination, standardized cardiac care pathways, and establishment of an effective transportation system.
Results:
Cardiac mortality accounted for about 52% of all in-hospital deaths before intervention in 2009. This decreased significantly to 43.3%, 32.5%, and 19.7% in 2009, 2010, and 2011, respectively. In-hospital mortality of acute coronary syndromes was 4.7%, 4.6%, and 3.0%, in the years 2009, 2010, and 2011, respectively. Mortality due to other causes remained largely unaffected. There was no significant change in the national mortality due to cardiac causes over the same period provided a reassurance that the observed improvement in in-hospital acute coronary syndrome mortality was not due to overall improvement in health care. The numbers of cardiac catheterization procedures increased 3-fold and cardiac surgical procedures increased 5-fold between 2009 and 2011.
Conclusions:
In this study, we found that an evidence-based intensive bundle care intervention substantially reduced the cardiac mortality among the pilgrims assembling for Hajj in Makkah.</description><identifier>ISSN: 0003-3197</identifier><identifier>EISSN: 1940-1574</identifier><identifier>DOI: 10.1177/0003319718822630</identifier><identifier>PMID: 30630345</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Arabs ; Cardiac Catheterization ; Cardiac Surgical Procedures ; Cardiology Service, Hospital - organization & administration ; Ceremonial Behavior ; Critical Pathways - organization & administration ; Delivery of Health Care, Integrated - organization & administration ; Feasibility Studies ; Heart Diseases - diagnosis ; Heart Diseases - ethnology ; Heart Diseases - mortality ; Heart Diseases - therapy ; Hospital Mortality ; Humans ; Islam ; Patient Care Bundles ; Patient Care Team - organization & administration ; Program Evaluation ; Saudi Arabia - epidemiology ; Time Factors ; Transportation of Patients - organization & administration ; Treatment Outcome</subject><ispartof>Angiology, 2019-07, Vol.70 (6), p.547-553</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-30e95fc1ec28b876270e54d256abeafc82d5b00d23700cb9ea3f6bddcaa457333</citedby><cites>FETCH-LOGICAL-c379t-30e95fc1ec28b876270e54d256abeafc82d5b00d23700cb9ea3f6bddcaa457333</cites><orcidid>0000-0001-5991-5318 ; 0000-0002-9845-1971 ; 0000-0002-4498-0405</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0003319718822630$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0003319718822630$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30630345$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al Faraidy, Khalid A.</creatorcontrib><creatorcontrib>Thalib, Lukman</creatorcontrib><creatorcontrib>Al Shammeri, Owayed</creatorcontrib><creatorcontrib>Bokhari, Fayez</creatorcontrib><creatorcontrib>Hersi, Ahmad</creatorcontrib><creatorcontrib>Alfaleh, Hussam</creatorcontrib><creatorcontrib>Kashour, Tarek</creatorcontrib><title>A Tailored, Bundle Care Intervention Strategy to Reduce Cardiac Mortality During the Hajj: A Population-Based, Before and After Study</title><title>Angiology</title><addtitle>Angiology</addtitle><description>Background:
Hajj is the largest human gathering with over 2 million people. We evaluated the effect of bundle care intervention on mortality.
Methods:
A population-based, before and after study compared the effect of an intervention on mortality. The intervention included recruitment of cardiac team, introducing 24/7 catheterization service, cardiac coordination, standardized cardiac care pathways, and establishment of an effective transportation system.
Results:
Cardiac mortality accounted for about 52% of all in-hospital deaths before intervention in 2009. This decreased significantly to 43.3%, 32.5%, and 19.7% in 2009, 2010, and 2011, respectively. In-hospital mortality of acute coronary syndromes was 4.7%, 4.6%, and 3.0%, in the years 2009, 2010, and 2011, respectively. Mortality due to other causes remained largely unaffected. There was no significant change in the national mortality due to cardiac causes over the same period provided a reassurance that the observed improvement in in-hospital acute coronary syndrome mortality was not due to overall improvement in health care. The numbers of cardiac catheterization procedures increased 3-fold and cardiac surgical procedures increased 5-fold between 2009 and 2011.
Conclusions:
In this study, we found that an evidence-based intensive bundle care intervention substantially reduced the cardiac mortality among the pilgrims assembling for Hajj in Makkah.</description><subject>Arabs</subject><subject>Cardiac Catheterization</subject><subject>Cardiac Surgical Procedures</subject><subject>Cardiology Service, Hospital - organization & administration</subject><subject>Ceremonial Behavior</subject><subject>Critical Pathways - organization & administration</subject><subject>Delivery of Health Care, Integrated - organization & administration</subject><subject>Feasibility Studies</subject><subject>Heart Diseases - diagnosis</subject><subject>Heart Diseases - ethnology</subject><subject>Heart Diseases - mortality</subject><subject>Heart Diseases - therapy</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Islam</subject><subject>Patient Care Bundles</subject><subject>Patient Care Team - organization & administration</subject><subject>Program Evaluation</subject><subject>Saudi Arabia - epidemiology</subject><subject>Time Factors</subject><subject>Transportation of Patients - organization & administration</subject><subject>Treatment Outcome</subject><issn>0003-3197</issn><issn>1940-1574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1v1DAQhi1ERZfCnRPykQOh4ziOE27b5aOVikBQztHEnixZZeOtP5D2B_C_6-2WHpA4WdY887yal7FXAt4JofU5AEgpWi2apixrCU_YQrQVFELp6ilbHMbFYX7KnoewyV8loH7GTiVkWFZqwf4s-Q2Ok_Nk3_KLNNuJ-Ao98as5kv9NcxzdzH9Ej5HWex4d_042mXvIjmj4F-cjTmPc8w_Jj_Oax1_EL3Gzec-X_JvbpQkPiuICw30EDTmL42z5csgJWZ3s_gU7GXAK9PLhPWM_P328WV0W118_X62W14WRuo2FBGrVYASZsukbXZcaSFW2VDX2hINpSqt6AFtKDWD6llAOdW-tQayUllKesTdH786720QhdtsxGJomnMml0JVCt1KBAp1ROKLGuxA8Dd3Oj1v0-05Adyi_-7f8vPL6wZ76LdnHhb9tZ6A4AgHX1G1c8nO-9v_CO9tii-s</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Al Faraidy, Khalid A.</creator><creator>Thalib, Lukman</creator><creator>Al Shammeri, Owayed</creator><creator>Bokhari, Fayez</creator><creator>Hersi, Ahmad</creator><creator>Alfaleh, Hussam</creator><creator>Kashour, Tarek</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5991-5318</orcidid><orcidid>https://orcid.org/0000-0002-9845-1971</orcidid><orcidid>https://orcid.org/0000-0002-4498-0405</orcidid></search><sort><creationdate>201907</creationdate><title>A Tailored, Bundle Care Intervention Strategy to Reduce Cardiac Mortality During the Hajj: A Population-Based, Before and After Study</title><author>Al Faraidy, Khalid A. ; Thalib, Lukman ; Al Shammeri, Owayed ; Bokhari, Fayez ; Hersi, Ahmad ; Alfaleh, Hussam ; Kashour, Tarek</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-30e95fc1ec28b876270e54d256abeafc82d5b00d23700cb9ea3f6bddcaa457333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Arabs</topic><topic>Cardiac Catheterization</topic><topic>Cardiac Surgical Procedures</topic><topic>Cardiology Service, Hospital - organization & administration</topic><topic>Ceremonial Behavior</topic><topic>Critical Pathways - organization & administration</topic><topic>Delivery of Health Care, Integrated - organization & administration</topic><topic>Feasibility Studies</topic><topic>Heart Diseases - diagnosis</topic><topic>Heart Diseases - ethnology</topic><topic>Heart Diseases - mortality</topic><topic>Heart Diseases - therapy</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Islam</topic><topic>Patient Care Bundles</topic><topic>Patient Care Team - organization & administration</topic><topic>Program Evaluation</topic><topic>Saudi Arabia - epidemiology</topic><topic>Time Factors</topic><topic>Transportation of Patients - organization & administration</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al Faraidy, Khalid A.</creatorcontrib><creatorcontrib>Thalib, Lukman</creatorcontrib><creatorcontrib>Al Shammeri, Owayed</creatorcontrib><creatorcontrib>Bokhari, Fayez</creatorcontrib><creatorcontrib>Hersi, Ahmad</creatorcontrib><creatorcontrib>Alfaleh, Hussam</creatorcontrib><creatorcontrib>Kashour, Tarek</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Angiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al Faraidy, Khalid A.</au><au>Thalib, Lukman</au><au>Al Shammeri, Owayed</au><au>Bokhari, Fayez</au><au>Hersi, Ahmad</au><au>Alfaleh, Hussam</au><au>Kashour, Tarek</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Tailored, Bundle Care Intervention Strategy to Reduce Cardiac Mortality During the Hajj: A Population-Based, Before and After Study</atitle><jtitle>Angiology</jtitle><addtitle>Angiology</addtitle><date>2019-07</date><risdate>2019</risdate><volume>70</volume><issue>6</issue><spage>547</spage><epage>553</epage><pages>547-553</pages><issn>0003-3197</issn><eissn>1940-1574</eissn><abstract>Background:
Hajj is the largest human gathering with over 2 million people. We evaluated the effect of bundle care intervention on mortality.
Methods:
A population-based, before and after study compared the effect of an intervention on mortality. The intervention included recruitment of cardiac team, introducing 24/7 catheterization service, cardiac coordination, standardized cardiac care pathways, and establishment of an effective transportation system.
Results:
Cardiac mortality accounted for about 52% of all in-hospital deaths before intervention in 2009. This decreased significantly to 43.3%, 32.5%, and 19.7% in 2009, 2010, and 2011, respectively. In-hospital mortality of acute coronary syndromes was 4.7%, 4.6%, and 3.0%, in the years 2009, 2010, and 2011, respectively. Mortality due to other causes remained largely unaffected. There was no significant change in the national mortality due to cardiac causes over the same period provided a reassurance that the observed improvement in in-hospital acute coronary syndrome mortality was not due to overall improvement in health care. The numbers of cardiac catheterization procedures increased 3-fold and cardiac surgical procedures increased 5-fold between 2009 and 2011.
Conclusions:
In this study, we found that an evidence-based intensive bundle care intervention substantially reduced the cardiac mortality among the pilgrims assembling for Hajj in Makkah.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>30630345</pmid><doi>10.1177/0003319718822630</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5991-5318</orcidid><orcidid>https://orcid.org/0000-0002-9845-1971</orcidid><orcidid>https://orcid.org/0000-0002-4498-0405</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Angiology, 2019-07, Vol.70 (6), p.547-553 |
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| subjects | Arabs Cardiac Catheterization Cardiac Surgical Procedures Cardiology Service, Hospital - organization & administration Ceremonial Behavior Critical Pathways - organization & administration Delivery of Health Care, Integrated - organization & administration Feasibility Studies Heart Diseases - diagnosis Heart Diseases - ethnology Heart Diseases - mortality Heart Diseases - therapy Hospital Mortality Humans Islam Patient Care Bundles Patient Care Team - organization & administration Program Evaluation Saudi Arabia - epidemiology Time Factors Transportation of Patients - organization & administration Treatment Outcome |
| title | A Tailored, Bundle Care Intervention Strategy to Reduce Cardiac Mortality During the Hajj: A Population-Based, Before and After Study |
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