| Autor: |
Mariano, de la Figuera, Jordi, Fernández, María Isabel, Fernández, Marta, Castelló, Josepa, Canadell, Laura, Luque |
| Rok vydání: |
2012 |
| Předmět: |
|
| Zdroj: |
Atención Primaria. 44(4):190-198 |
| ISSN: |
0212-6567 |
| DOI: |
10.1016/j.aprim.2011.03.007 |
| Popis: |
OBJECTIVE: The echocardiogram (ECC) is not available to all Spanish General Practitioners (GP) despite its proven benefits in prevalent diseases, such as hypertension and heart failure. STUDY OBJECTIVE: To analyse the clinical adequacy of the application, performance, and diagnostic and therapeutic decisions of ECC indicated by the GP. DESIGN: Descriptive, cross-sectional, retrospective, multicentre study. SETTING: Primary care. Four health centres (HC). PARTICIPANTS: A total of 684 patients over 18 years who had an ECC performed in 2006-2007. MAIN MEASUREMENTS: A review of medical records and the ECC report. The socio-demographic variables, clinical and diagnostic performance were also evaluated. RESULTS: The majority of patients (62.3%) were ≥ 65 years, of which 61.8% were female The most frequent reasons for performing ECC were (but not limited to): heart failure: 30%, suspected valvular disease: 26%; suspected cardiomyopathy: 24.3%. Adequacy of the ECC: 84% (95% CI: 81.09-86.7%) with differences by age (p = .02), HC teaching (p |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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