Key result
Observational audit assesses TTE appropriateness and its impact on clinical management in routine hospital care.
Why the study?
The relationship between the appropriateness of transthoracic echocardiography and its clinical impact on patient management remains a matter of debate.
What is the degree of adherence to the 2011 appropriate use criteria for transthoracic echocardiography and its clinical impact on patient management in a UK tertiary public hospital?
Observational (n=600)
Evaluated by two independent cardiologists with no direct relation to the study
No
What is the degree of adherence to the 2011 appropriate use criteria for transthoracic echocardiography and its clinical impact on patient management in a UK tertiary public hospital?
This study investigates the adherence to 2011 appropriate use criteria for transthoracic echocardiography and its subsequent impact on clinical management in a UK tertiary hospital, though the results section is truncated from the provided text.
Answers are grounded in this paper and cite their sources.
TTE appropriateness evaluation in UK hospitals is hypothesis-generating; leaves open clinical impact and generalizability of 2011 criteria.
Introduction: The relationship between the appropriateness of the transthoracic echocardiography (TTE) and its clinical impact is still a matter of debate. Objective: The aim of this study was to assess the degree of adherence to the appropriate use criteria for echocardiography, in a tertiary public hospital in the United Kingdom, as well as the clinical impact of the exam on patient management. Methods: 859 TTE’s performed consecutively during January 2014 were reviewed to assess its appropriateness, and were classified as appropriate, uncertain or inappropriate using the 2011 guidelines. Subsequently, patient’s files were examined to determine the clinical impact of the TTE which was assigned to one of the following three categories: (1) active change in care, (2) continuation of current care, or (3) no change in care. Patients which files were not available were excluded (259). All classifications were evaluated by two independent cardiologists, with no direct relation to the study.
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Fernandes et al. (2015) conducted an observational in Patients undergoing transthoracic echocardiography (n=600). Transthoracic echocardiography appropriateness classification using 2011 appropriate use criteria was evaluated on Adherence to appropriate use criteria (appropriate, uncertain, or inappropriate) and clinical impact on patient management (active change in care, continuation of current care, or no change in care).
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