PMID: 9659190Jul 11, 1998Paper

A prioritisation system for elective coronary angiography

Heart
D P de BonoY Podinovskaya

Abstract

To devise a clinical prioritisation system for rationing access to a cardiac catheter waiting list and to describe its performance at predicting angiographic findings and selecting patients for angioplasty or coronary artery bypass graft surgery. Tertiary level cardiology centre. (1) 665 consecutive patients on an elective waiting list for coronary angiography were scored using a system derived from established clinical criteria for selecting patients for coronary surgery (New Zealand/Duke). The scores were compared with clinical outcome (referral for surgery, angioplasty, or medical management). (2) In a subset of 125 patients, scores derived from clinical criteria and exercise testing were compared with findings on coronary angiography. (3) Multivariate analysis was used in a new group of 178 patients to identify factors that would be better predictors of the angiographic score. (4) A new scoring system was devised based partly on the results of the multivariate analysis. It was applied to a new test group of 100 patients using clinical outcome and angiographic score as outcome measures. (1) Using the established clinical score, similar proportions of patients were referred after angiography for medical management, angioplast...Continue Reading

Citations

Apr 10, 2003·Journal of Health Services Research & Policy·Matthew BondAnthony Martin
Nov 5, 2021·BMC Public Health·Leila DoshmangirVladimir Sergeevich Gordeev

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