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Finding
Finding
decline
More than one in four eligible AMI patients (26.8%) were not screened for depression despite a mandated quality improvement protocol, with unscreened patients being disproportionately female, having more cardiac history, and having higher depression prevalence.
| Effect size | 26.8% not screened (135 of 503) |
| Comparator | 100% screening completion target (protocol mandated screening for all AMI patients on the ACS care management pathway) |
| Effect summary | decline; 26.8% not screened (135 of 503) |
| Effect modifiers | [{"modifier": "Sex (female)", "interaction_p": "", "direction": "amplifies", "stratum_details": "A greater proportion of non-screened patients was female compared with screened patients", "plain_language": "Women were more likely to be missed by the screening protocol", "annotation_notes": "Table 1 data. No formal interaction test reported, but the between-group comparison was statistically significant."}, {"modifier": "Prior AMI history", "interaction_p": "", "direction": "amplifies", "stratum_details": "Non-screened patients were more likely to have a history of AMI and angina", "plain_language": "Patients with prior cardiac history were more likely to be missed by screening", "annotation_notes": "Table 1 data."}, {"modifier": "ST-elevation AMI presentation", "interaction_p": "", "direction": "attenuates", "stratum_details": "Non-screened patients were less likely to present with ST-elevation AMI and less likely to undergo in-hospital PCI", "plain_language": "Patients with more straightforward heart attack presentations were more likely to be screened", "annotation_notes": "Table 1 data."}] |
Connected entities
Interventions
Conditions
Outcomes
Source
PMC3336360
Real-World Lessons From the Implementation of a Depression Screening Protocol in Acute Myocardial Infarction Patients: Implications For the AHA Depression Screening Advisory