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Everything You Always Wanted to Know About the Com ...
Everything You Always Wanted to Know About the Com ...
Everything You Always Wanted to Know About the Composite Risk Model - - Fitzgerald
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Video Transcription
Video Summary
In this video, Susan Fitzgerald, an associate at the American College of Cardiology, discusses the composite risk model in relation to the TAVR 30-day mortality morbidity composite. The video covers objectives such as understanding the endpoints and eligibility criteria of the composite model, interpreting hospital performance within each component of the composite, tracking performance, and finding additional resources for understanding the model. Fitzgerald provides resources including a four-part series on risk models, an executive summary metrics companion guide, a published manuscript on the model, and other resources on composite outcomes. The risk model is explained as a statistical framework that quantifies the probability of outcomes based on patient risk factors. The TAVR composite model is hierarchical and considers patient and hospital factors. The composite endpoints include mortality, stroke, bleeding, acute kidney injury, and paravalvular regurgitation. The selection of endpoints is based on their association with mortality and patient quality of life. The video also discusses site differences, confidence intervals, and star ratings based on performance compared to average hospitals. Fitzgerald emphasizes the importance of analyzing data and identifying areas for improvement, suggesting the use of the Focus PDSA model for quality improvement projects. She provides references for reducing mortality, stroke, acute kidney injury, bleeding, and paravalvular leak. The video concludes with a call to action for viewers to implement a QI project at their hospital and present their progress at a future conference. No credits are mentioned.
Keywords
composite risk model
TAVR 30-day mortality morbidity composite
endpoints
hospital performance
data analysis
quality improvement projects
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