title: Cardiovascular care facts: a report from the national cardiovascular data registry: 2011.
abstract: OBJECTIVE
  The aim of this report was to characterize the patients, participating centers, and measures of quality of care and outcomes for 5 NCDR (National Cardiovascular Data Registry) programs: 1) ACTION (Acute Coronary Treatment and Intervention Outcomes Network) Registry-GWTG (Get With The Guidelines) for acute coronary syndromes; 2) CathPCI Registry for coronary angiography and percutaneous coronary intervention; 3) CARE (Carotid Artery Revascularization and Endarterectomy) Registry for carotid revascularization; 4) ICD Registry for implantable cardioverter defibrillators; and the 5) PINNACLE (Practice INNovation And CLinical Excellence) Registry for outpatients with cardiovascular disease (CVD).
  
  
  BACKGROUND
  CVD is a leading cause of death and disability in the United States. The quality of care for patients with CVD is suboptimal. National registry programs, such as NCDR, permit assessments of the quality of care and outcomes for broad populations of patients with CVD.
  
  
  METHODS
  For the year 2011, we assessed for each of the 5 NCDR programs: 1) demographic and clinical characteristics of enrolled patients; 2) key characteristics of participating centers; 3) measures of processes of care; and 4) patient outcomes. For selected variables, we assessed trends over time.
  
  
  RESULTS
  In 2011 ACTION Registry-GWTG enrolled 119,967 patients in 567 hospitals; CathPCI enrolled 632,557 patients in 1,337 hospitals; CARE enrolled 4,934 patients in 130 hospitals; ICD enrolled 139,991 patients in 1,435 hospitals; and PINNACLE enrolled 249,198 patients (1,436,328 individual encounters) in 74 practices (1,222 individual providers). Data on performance metrics and outcomes, in some cases risk-adjusted with validated NCDR models, are presented.
  
  
  CONCLUSIONS
  The NCDR provides a unique opportunity to understand the characteristics of large populations of patients with CVD, the centers that provide their care, quality of care provided, and important patient outcomes.
authors.affiliation: Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado; Colorado Cardiovascular Outcomes Research Consortium, Denver, Colorado. Electronic address: fred.masoudi@ucdenver.edu.
authors.forename: Frederick A
authors.initials: FA
authors.lastname: Masoudi
authors.affiliation: American College of Cardiology Foundation, Washington, DC.
authors.forename: Angelo
authors.initials: A
authors.lastname: Ponirakis
authors.affiliation: Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
authors.forename: Robert W
authors.initials: RW
authors.lastname: Yeh
authors.affiliation: Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado; Colorado Cardiovascular Outcomes Research Consortium, Denver, Colorado; Department of Medicine, VA Eastern Colorado Health Care System, Denver, Colorado.
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Maddox
authors.affiliation: American College of Cardiology Foundation, Washington, DC.
authors.forename: Jim
authors.initials: J
authors.lastname: Beachy
authors.affiliation: The Heart Group of Lancaster General Health, Lancaster, Pennsylvania.
authors.forename: Paul N
authors.initials: PN
authors.lastname: Casale
authors.affiliation: Department of Medicine, Yale University, New Haven, Connecticut.
authors.forename: Jeptha P
authors.initials: JP
authors.lastname: Curtis
authors.affiliation: Department of Medicine, University of Texas Southwestern, Dallas, Texas.
authors.forename: James
authors.initials: J
authors.lastname: De Lemos
authors.affiliation: Department of Medicine, University of California-Los Angeles Medical Center, Los Angeles, California.
authors.forename: Gregg
authors.initials: G
authors.lastname: Fonarow
authors.affiliation: Department of Medicine, Veterans Affairs Palo Alto Medical Center, Palo Alto, California.
authors.forename: Paul
authors.initials: P
authors.lastname: Heidenreich
authors.affiliation: American College of Cardiology Foundation, Washington, DC.
authors.forename: Christina
authors.initials: C
authors.lastname: Koutras
authors.affiliation: Mid Carolina Cardiology and Presbyterian Hospital, Charlotte, North Carolina.
authors.forename: Mark
authors.initials: M
authors.lastname: Kremers
authors.affiliation: Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
authors.forename: John
authors.initials: J
authors.lastname: Messenger
authors.affiliation: Division of Cardiovascular Diseases, Mayo Clinic, Jacksonville, Florida.
authors.forename: Issam
authors.initials: I
authors.lastname: Moussa
authors.affiliation: American College of Cardiology Foundation, Washington, DC.
authors.forename: William J
authors.initials: WJ
authors.lastname: Oetgen
authors.affiliation: Duke Cardiovascular Research Institute, Durham, North Carolina.
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Roe
authors.affiliation: Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Rosenfield
authors.affiliation: American College of Cardiology Foundation, Washington, DC.
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Shields
authors.affiliation: Division of Cardiovascular Diseases, Mid-America Heart Institute, Kansas City, Kansas.
authors.forename: John A
authors.initials: JA
authors.lastname: Spertus
authors.affiliation: American College of Cardiology Foundation, Washington, DC.
authors.forename: Jessica
authors.initials: J
authors.lastname: Wei
authors.affiliation: Department of Cardiovascular Diseases, Ochsner Clinic Foundation, New Orleans, Louisiana.
authors.forename: Christopher
authors.initials: C
authors.lastname: White
authors.affiliation: The Moran Company, Arlington, Virginia.
authors.forename: Christopher H
authors.initials: CH
authors.lastname: Young
authors.affiliation: Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado; Colorado Cardiovascular Outcomes Research Consortium, Denver, Colorado; Department of Medicine, VA Eastern Colorado Health Care System, Denver, Colorado.
authors.forename: John S
authors.initials: JS
authors.lastname: Rumsfeld
mesh_terms: D002318:Cardiovascular Diseases / Q000601:surgery*; D019983:Guideline Adherence; D006801:Humans; D062645:Percutaneous Coronary Intervention; D012042:Registries; D012307:Risk Factors; D014481:United States
keywords: AMI; CAS; CMS; Centers for Medicaid and Medicare Services; ICD; PCI; acute myocardial infarction; cardiovascular disease; carotid artery stenting; implantable cardioverter defibrillator; percutaneous coronary intervention; quality of care; registries; registry