Appropriateness of angiography for suspected coronary artery disease.
Autor: | Mohammadshahi M; National Institute of Health Research, Group of Payment and Financial Resources of the Health System, Tehran University of Medical Sciences, Tehran, Iran., Sefiddashti SE; Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran., Sakha MA; Iran University of Medical Sciences, Deputy of Health, Health Promotion Office, Iran., Olyaeemanesh A; National Institute of Health Research, Group of Payment and Financial Resources of the Health System, Tehran University of Medical Sciences, Tehran, Iran., Yazdani S; Cardiovascular Research Center, Shahid Rajaei Educational and Medical Center, Alborz University of Medical Sciences, Karaj, Iran. Electronic address: shahrooz1982@yahoo.com. |
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Jazyk: | angličtina |
Zdroj: | Indian heart journal [Indian Heart J] 2021 May-Jun; Vol. 73 (3), pp. 376-378. Date of Electronic Publication: 2021 Apr 18. |
DOI: | 10.1016/j.ihj.2021.04.004 |
Abstrakt: | The aim of this study was to assess the appropriate use of diagnostic catheterizations (DC) for the patients with suspected coronary artery disease performed in Iran. The Electronic Health Record System database and manual review of files were utilised to collect data between 2012 and 2014. Patients were categorized in three groups as appropriate, uncertain, and inappropriate usage of DC and the logistic regression was used to investigate the relationships between variables. One-quarter of the 2458 angiographies were rated as inappropriate, out of which 99% had no previous stress test. The rate of inappropriate DC between various hospitals were approximately the same. The regression showed that some risk factors (Sex, high cholesterol, smoking, chronic heart failure, renal failure, diabetes) were significantly associated with inappropriate rate. Competing Interests: Declaration of competing interest “The authors have no conflicts of interest to declare.” (Copyright © 2021 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.) |
Databáze: | MEDLINE |
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