Appropriateness, diagnostic value, and outcomes of repeat testing following index echocardiography
| Autor: | Lisanne Stock, Abbas Zaidi, Aishah Azam, Guy Lloyd, Sujata Bhattacharyya, Matthew Wright, Vincent McCaughan, Alina Hua, Jessica Wright, Sanjeev Bhattacharyya |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Heart Diseases Repeat testing Unnecessary Procedures 030204 cardiovascular system & hematology 03 medical and health sciences Repeated testing 0302 clinical medicine Mean Survival Time Humans Medicine Radiology Nuclear Medicine and imaging In patient 030212 general & internal medicine Aged Retrospective Studies Inpatients Emergency admission business.industry Reproducibility of Results Middle Aged Patient record United Kingdom Appropriateness criteria Echocardiography Emergency medicine Female Electronic database Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Echocardiography. 35:24-29 |
| ISSN: | 0742-2822 |
| DOI: | 10.1111/echo.13726 |
| Popis: | Aims Emergency admission to hospital is associated with an economic burden and mortality. Echocardiography is often the first-line cardiovascular imaging investigation. Repeat testing is common; however, there are sparse data on the prevalence, appropriateness, or outcome of repeat testing. Methods We performed an electronic database search for patients with emergency admissions to our institution in February 2015. An electronic patient record review of inpatient echocardiograms was undertaken. Indications for echocardiography were classified as appropriate, may be appropriate, or rarely appropriate. One-year follow-up for repeat testing and mortality was investigated. Results A total of 409 of 2306 (17.7%) unplanned/emergency admissions underwent inpatient echocardiography. Abnormalities were identified in 165/409 (40.3%) of these patients; 154 of 409 (37.7%) had a repeat echocardiogram within the next year. Rarely appropriate indications for echocardiography occurred in 51 (33%) of repeat vs 53 (16%) of index echocardiograms, P |
| Databáze: | OpenAIRE |
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