The Swedish Web-system for enhancement and development of evidence-based care in heart disease evaluated according to recommended therapies (SWEDEHEART).
OBJECTIVE
The 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).


METHODS
To 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.


METHODS
Every hospital (n=74) in Sweden providing the relevant services participates. Launched in 2009 after merging four national registries on CAD.


METHODS
Consecutive acute coronary syndrome (ACS) patients, and patients undergoing coronary angiography/angioplasty or heart surgery. Includes approximately 80, 000 new cases each year.


METHODS
On admission in ACS patients, at coronary angiography in patients with stable CAD.


METHODS
106 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.


METHODS
Web-based registry with all data registered online directly by the caregiver.


METHODS
A monitor visits approximately 20 hospitals each year. In 2007, there was a 96% agreement.


METHODS
Merged 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.


BACKGROUND
Available for research by application to the SWEDEHEART steering group.
Jernberg
Tomas
T
Department of Cardiology, Karolinska University Hospital, Huddinge, Institution of Medicine (H7), Huddinge, Karolinska Institutet, Stockholm 141 86, Sweden. tomas.jernberg@karolinska.se
Attebring
Mona F
MF
Hambraeus
Kristina
K
Ivert
Torbjorn
T
James
Stefan
S
Jeppsson
Anders
A
Lagerqvist
Bo
B
Lindahl
Bertil
B
Stenestrand
Ulf
U
Wallentin
Lars
L
D003324:Coronary Artery Disease / Q000628:therapy*; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D006801:Humans; D020407:Internet; D012042:Registries; D013548:Sweden; D016896:Treatment Outcome