The Swedish Web-system for Enhancement and Development of Evidence-based care in Heart disease Evaluated According to Recommended Therapies (SWEDEHEART)

AimsThe aims of the Swedish Web-system for Enhancement and Development of Evidence-based care in Heart disease Evaluated According to Recommended Therapies (SWEDEHEART) are to support the improvement of care and evidence-based development of therapy of coronary artery disease (CAD).InterventionsTo provide users with online interactive reports monitoring the processes of care and outcomes and allowing direct comparisons over time and with other hospitals. National, regional and county-based reports are publicly presented on a yearly basis.SettingEvery hospital (n=74) in Sweden providing the relevant services participates. Launched in 2009 after merging four national registries on CAD.PopulationConsecutive acute coronary syndrome (ACS) patients, and patients undergoing coronary angiography/angioplasty or heart surgery. Includes approximately 80 000 new cases each year.StartpointsOn admission in ACS patients, at coronary angiography in patients with stable CAD.Baseline data106 variables for patients with ACS, another 75 variables regarding secondary prevention after 12–14 months, 150 variables for patients undergoing coronary angiography/angioplasty, 100 variables for patients undergoing heart surgery.Data captureWeb-based registry with all data registered online directly by the caregiver.Data qualityA monitor visits approximately 20 hospitals each year. In 2007, there was a 96% agreement.Endpoints and linkages to other dataMerged with the National Cause of Death Register, including information about vital status of all Swedish citizens, the National Patient Registry, containing diagnoses at discharge for all hospital stays in Sweden and the National Registry of Drug prescriptions recording all drug prescriptions in Sweden.Access to dataAvailable for research by application to the SWEDEHEART steering group.