AUDIT OF CORONARY ANGIOGRAPHY AND BYPASS-SURGERY

被引:88
作者
GRAY, D
HAMPTON, JR
BERNSTEIN, SJ
KOSECOFF, J
BROOK, RH
机构
[1] UNIV CALIF LOS ANGELES,DEPT MED & PUBL HLTH,LOS ANGELES,CA 90024
[2] RAND CORP,SANTA MONICA,CA 90406
关键词
D O I
10.1016/0140-6736(90)91196-H
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The appropriateness of coronary angiography and coronary artery bypass surgery in the Trent regional health authority was assessed by comparison with predetermined consensus criteria. 49% of coronary angiographies were considered to be entirely appropriate in relation to the patient's clinical condition, but 21% were deemed inappropriate. Coronary artery bypass surgery was considered appropriate in 55% of patients, but inappropriate in 16%. Audit by "appropriateness" scores may help to determine which patients should first be investigated and treated when resources are limited and waiting lists are long. © 1990.
引用
收藏
页码:1317 / 1320
页数:4
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