Audit of cardiac catheterisation in a district general hospital: implications for training
| Autor: | L D R Smith, J W Dean, G Spyer |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Cardiac Catheterization Adolescent medicine.medical_treatment Coronary Disease Audit Hospitals General Risk Assessment Angioplasty Epidemiology medicine Humans Prospective Studies Angioplasty Balloon Coronary Prospective cohort study Intensive care medicine Aged Aged 80 and over Medical Audit Interventional cardiology business.industry Middle Aged Hospitals District Cardiac surgery Catheter Cerebrovascular Disorders Heart catheterization Emergency medicine Papers Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heart (British Cardiac Society). 81(5) |
| ISSN: | 1355-6037 |
| Popis: | OBJECTIVE—To assess complications of diagnostic cardiac catheterisation in a non-surgical centre by review of the first three years' experience and audit of 2804 diagnostic left heart procedures. DESIGN—Analysis of a prospective database of cardiac catheter procedures. SETTING—District general hospital without available on site cardiac surgery. RESULTS—The rate of major complications of cardiac catheterisation was 0.07%. Mortality was 0.07%, and the rate of arterial complications (requiring surgical repair) was 0.24% for brachial arteries and 0.17% for femoral. These results are comparable to those reported from national and international surgical centres. CONCLUSION—A diagnostic cardiac catheterisation service can be offered in non-surgical hospitals without an increased risk to patients. It highlights the relevance of training in angioplasty and questions the appropriateness of starting preliminary invasive cardiology training of specialist registrars in district general hospitals. Keywords: cardiac catheterisation; complications; specialist training; district general hospital |
| Databáze: | OpenAIRE |
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