Autor: |
Harsh Rawal, Tung Nguyen, Lloyd W Klein |
Jazyk: |
angličtina |
Rok vydání: |
2022 |
Předmět: |
|
Zdroj: |
Health Sciences Review, Vol 4, Iss , Pp 100046- (2022) |
Druh dokumentu: |
article |
ISSN: |
2772-6320 |
DOI: |
10.1016/j.hsr.2022.100046 |
Popis: |
Introduction: The Appropriate Use Criteria (AUC) have served as a foundation of quality practice for two decades. Since its introduction, the AUC has undergone two revisions. These changes reflect improved understanding of clinical situations where percutaneous coronary intervention (PCI) optimizes patient outcomes. We analyzed the impact that AUC classification and its revisions have had on clinical practice. Methods: The study follows a systematic review design. PubMed and Embase libraries were queried to identify all US studies evaluating appropriate use of PCI. Eight studies were included with data from 2009–2014. Cases were classified as appropriate, inappropriate/rarely appropriate, uncertain/may be appropriate and unmappable. Temporal trends were determined from linear regression. One-way ANOVA was used to compare groups using GraphPad Prism 8.0. Results: The total percentage of PCIs performed drastically decreased from 2010 to 2013 by 13.5%. Non-acute PCIs were significantly reduced from 20.3% to 13.5%, and unclassifiable PCIs were similarly reduced from 15.1 to 5.7% (p |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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