Rosanna Tavella, The University of Adelaide, and Central Adelaide Local Health Network, SA Health, rosanna.tavella@adelaide.edu.au
The Coronary Angiogram Database of South Australia (CADOSA) Registry was established to provide a comprehensive data infrastructure of invasive coronary procedures in order to evaluate the delivery of quality health care thereby facilitating clinical improvement and supporting clinical coronary research.
Established in 2012, the Registry now contains over 45,000 records, representative of public and private hospital clinical practice in the management of coronary artery disease. This unique Registry has attracted both national and international acclaim and continues to pioneer new innovations in clinical registry structure and function.
Key Components:
Quality Assurance Module contains baseline clinical, angiographic, procedural and discharge data for patients undergoing invasive diagnostic angiography with/without percutaneous coronary interventions (all consecutive in the South Australian public hospital are captured). Linkage with administrative datasets also enables the capture of future cardiovascular outcomes such as readmission to hospital and mortality. This data collection is compatible with the American College of Cardiology National Cardiovascular Data Registry (NCDR®), specifically the CathPCI Registry®.
Health Outcome Module contains baseline, 1 and 12-month patient-reported outcome measures (PROMs) including symptomatic status, disease-associated physical impairment, quality of life, and depression. Evaluating these patient-related outcomes provides key insights into the effectiveness of clinical therapies and underscores the most aspect of healthcare delivery – our patients. The CADOSA PROMs collection is endorsed by ICHOM (International Consortium of Health Outcomes Measurement) as it captures the recommended standard data set for coronary artery disease.
- Feedback to contributing clinicians in the format of hospital-level or statewide reports. Clinical level reporting is not produced.
- Reported in Annual Report
- Shared with other clinicians
- Shared with hospital executive
- Shared with medical colleges
- Reported to State/Territory health departments in the format of statewide reports
The CADOSA Registry collects PROMs at baseline, and at 1 month and 12 month post discharge (via phone interview). The questionnaires administered include the Seattle Angina Questionnaire (SAQ), the ROSE Dyspnea Scale, the Euro-Qol 5D and the Patient Health Questionnaire (PHQ-9) for depression. The CADOSA PROMs module is compatible with the ICHOM Standard Set for Coronary Artery Disease.
Nil
- The Royal Adelaide Hospital
- The Queen Elizabeth Hospital
- Lyell McEwin Hospital
- Flinders Medical Centre
- Calvary Adelaide
Coronary angioplasty/stenting - percutaenous coronary intervention (interventional)