Appropriate use criteria for transthoracic echocardiography: Are they relevant to European centers?
| Autor: | Robert N. Kerley, Kenneth P. Thornton, Siun O’Flynn, Raymond M. Kelly |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Cardiomyopathy 030204 cardiovascular system & hematology Subspecialty Appropriate Use Criteria 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Radiology Nuclear Medicine and imaging Cardiac structure 030212 general & internal medicine Referral and Consultation Retrospective Studies Academic Medical Centers business.industry Inappropriate referral medicine.disease University hospital Europe Cardiovascular Diseases Echocardiography Heart failure Cardiology Guideline Adherence Transthoracic echocardiogram Cardiology and Cardiovascular Medicine business |
| Zdroj: | Echocardiography (Mount Kisco, N.Y.). 35(1) |
| ISSN: | 1540-8175 |
| Popis: | BACKGROUND There is a growing interest in appropriate use criteria (AUC) for cardiovascular imaging referrals in Europe. These criteria, developed by American subspecialty societies, have been in use since 2007 and show a temporal reduction in inappropriate transthoracic echocardiogram (TTE) requests. When applied to European centers, inappropriate referral rates as high as 15% have been observed. METHODS A retrospective analysis of TTE referrals for appropriateness and major abnormality detection was conducted over a two-month period at Cork University Hospital (CUH). RESULTS Overall, 1277 requests were assessed, of which 97.7% were classifiable. Of the 1235 classifiable studies, 1049 (84.9%) were appropriate, 135 (10.9%) were inappropriate, and 51 (4.1%) were uncertain. Main indications were the evaluation of cardiac structure and function (496, 40.2%), hypertension, heart failure or cardiomyopathy (349, 28.3%), and valvular function (228, 18.5%). Inappropriate referral rates were significantly higher for outpatients compared to inpatients (13.8% vs 7.1%, P |
| Databáze: | OpenAIRE |
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