Self- vs provider-referral differences for coronary artery calcium testing

Autor: Rebekah Lantz, Steve Young, Janet Lubov, Anas Ahmed, Ronald Markert, Srikanth Sadhu
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: American Heart Journal Plus, Vol 13, Iss , Pp 100088- (2022)
Druh dokumentu: article
ISSN: 2666-6022
DOI: 10.1016/j.ahjo.2022.100088
Popis: Study objectives: The objectives of this study were to identify independent predictors for moderate/accentuated coronary artery calcium (CAC) score and compare patients who self-referred for CAC Computed Tomography (CT) testing to those who were provider-referred. Design: Patients underwent CAC between January to July 2019. The analysis was divided into self-referred patients influenced by a CAC community campaign who identified themselves as having cardiovascular risk factors compared to provider-referred intermediate-risk patients who were asymptomatic. SAS version 9.4 (SAS Institute, Inc., Cary, NC) was used for all analyses. Setting: Seven southwest Ohio hospitals from a single network. Participants: 2124 adult patients who received CAC CT (163 self and 1961 provider-referred). Interventions: CAC CT. Main outcome measures: Demographics, risk factors, lab values, prescriptions, and referral status were used to compare CAC score differences between self- and provider-referred patients. Results: For 2124 patients, three predictors for moderate/accentuated CAC score remained significant after multiple logistic regression: CKD (OR 0.24, CI 0.008–0.68, p
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