CPMI-1120 - Metric 34 | Aspirin at Discharge-1120 - Metric 34

Video Transcription

Video Summary

In this video, the presenter reviews a case scenario from the Chest Pain MI Registry for November. A 54-year-old female with a history of persistent atrial fibrillation and taking dabigatran at home presents to the emergency department with chest pressure and shortness of breath. The patient is diagnosed with NSTEMI and treated medically before being discharged. The discharge medications include dabigatran, clopidogrel, metoprolol, and atorvastatin. The video discusses whether the patient is included in metric 34, Aspirin at Discharge. It concludes that the patient is not included because although aspirin is a guideline drug, they were prescribed an anticoagulant and a P2Y12 inhibitor, meeting the exception criteria. This exception removes the patient from the denominator and deems them not eligible for the measure. The presenter also mentions that the patient will not be listed in the patient-level detail report or the Composite Performance Measures report for Aspirin at Discharge, but this has no impact on the calculated score.<br /><br />No credits were mentioned in the video.

Keywords

Chest Pain MI Registry

NSTEMI

dabigatran

clopidogrel

metoprolol