Utilisation and clinical efficacy of echocardiography in a regional hospital

The Australian Journal of Rural Health
Rick McLeanGarry Sienkiewicz

Abstract

To determine utilisation and clinical efficacy of echocardiography in a regional setting. Consecutive patients referred for echocardiography studied prospectively using a pro-forma to be completed before and after echocardiography. Regional hospital in New South Wales. A total of 103 consecutive patients. Utilisation and clinical efficacy of echocardiography. No significant abnormalities were detected in 41.7% of patients, but unexpected abnormalities were found in 31.1%. For 60% of pretest diagnoses there was a clinically important change in diagnostic certainty following the test and changes to treatment occurred in 30.1% of patients. A total of 19 patients with neurological events underwent echocardiography but none had cardiac thrombus demonstrated although thrombus was demonstrated in additional seven. Echocardiography appears to be used appropriately in our regional setting, resulting in major changes to diagnostic certainty and leading to alterations to treatments in almost one-third of patients. Education in relation to the use of echocardiography in patients with neurological events is warranted.

References

Oct 1, 1989·The American Journal of Medicine·W Y HershmanG J Balady
Jul 1, 1994·Journal of the American College of Cardiology·H M KrumholzC Waksmonski
Nov 1, 1996·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·A D WaggonerE M Geltman
Feb 1, 1997·The American Journal of Cardiology·K E FleischmannR T Lee
Dec 5, 1997·The American Journal of Cardiology·R KimK M Kessler
Sep 8, 1999·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·J W TamK Wolfe
May 27, 2003·Heart Failure Reviews·Antonio VitarelliMihai Gheorghiade

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Citations

Mar 3, 2017·Evidence-based Complementary and Alternative Medicine : ECAM·Yifan LiWenping Lu
Apr 1, 2006·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Michael A SeropianGlenn Brady

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