Transthoracic echocardiography: impact on diagnosis and management in tertiary care intensive care units
| Autor: | Eric Jacobsohn, L. K. Stanko, C. J. De Wet, J. W. Tam, Michael S. Avidan |
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| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Heart Diseases Surgical intensive care unit Observation Critical Care and Intensive Care Medicine Tertiary care law.invention Diagnosis Differential Interviews as Topic 03 medical and health sciences 0302 clinical medicine law Intensive care Clinical information Medicine Humans 030212 general & internal medicine Prospective Studies Intensive care medicine business.industry 030208 emergency & critical care medicine Middle Aged Intensive care unit body regions Intensive Care Units Anesthesiology and Pain Medicine Echocardiography Structured interview Utilization Review Observational study Female sense organs business |
| Zdroj: | Anaesthesia and intensive care. 33(4) |
| ISSN: | 0310-057X |
| Popis: | The purpose of this study was to evaluate the utility of transthoracic echocardiography (TTE) in an intensive care unit by determining its impact on diagnosis and management. Over a six-month time period, we performed a prospective observational study on all patients admitted to either the medical or the surgical intensive care unit. Structured interviews were conducted with referring physicians before and after the TTE to determine the referring physicians’ pre-TTE diagnosis, reasons for requesting the TTE, and whether the TTE resulted in a change in diagnosis and/or management. A total of 135 TTE examinations were done in 126 patients. The referring physicians deemed that clinical information was inadequate to make a definitive diagnosis and management plan in 36/135 (27%) of the requests. In 99/135 (73%) studies, physicians indicated that there was probably sufficient clinical information to formulate a diagnosis and management plan, but ordered a TTE to corroborate their clinical findings. Overall, a change in diagnosis occurred in 39/135 (29%) of studies, and a change in management in 55/135 (41%) of studies. Diagnosis was changed in 19/99 (19%) studies with adequate clinical data, and in 20/36 (56%) studies with inadequate clinical data (P |
| Databáze: | OpenAIRE |
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