A prioritisation system for elective coronary angiography

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A prioritisation system for elective coronary angiography.

OBJECTIVE 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. SETTING Tertiary level cardiology centre. METHODS (1) 665 consecutive patients on an elective waiting list for coronary angiography were...

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Low Diagnostic Yield of Elective Coronary Angiography

From the Duke Clinical Research Institute, Duke University, Durham, NC (M.R.P., E.D.P., D.D., J.M.B., P.S.D.); University of California at San Francisco, San Francisco (R.F.R., R.G.B.); and the University of Texas Health Science Center, Houston (H.V.A.). Address reprint requests to Dr. Patel at the Duke Clinical Research Institute, Duke University Medical Center, P.O. Box 17969, Durham, NC 2771...

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Low diagnostic yield of elective coronary angiography.

BACKGROUND Guidelines for triaging patients for cardiac catheterization recommend a risk assessment and noninvasive testing. We determined patterns of noninvasive testing and the diagnostic yield of catheterization among patients with suspected coronary artery disease in a contemporary national sample. METHODS From January 2004 through April 2008, at 663 hospitals in the American College of C...

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Validation of a Novel Clinical Prediction Score for Severe Coronary Artery Diseases before Elective Coronary Angiography

OBJECTIVES Coronary artery disease (CAD) severity is associated with patient prognosis. However, few efficient scoring systems have been developed to screen severe CAD in patients with stable angina and suspected CAD before coronary angiography. Here, we present a novel scoring system for CAD severity before elective coronary angiography. METHODS Five hundred fifty-one patients with stable an...

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Long Waiting Times for Elective Hospital Care – Breaking the Vicious Circle by Abandoning Prioritisation

Background Policies assigning low-priority patients treatment delays for care, in order to make room for patients of higher priority arriving later, are common in secondary healthcare services today. Alternatively, each new patient could be granted the first available appointment. We aimed to investigate whether prioritisation can be part of the reason why waiting times for care are often...

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ژورنال

عنوان ژورنال: Heart

سال: 1998

ISSN: 1355-6037

DOI: 10.1136/hrt.79.5.448