Appropriate use criteria for transthoracic echocardiography at a tertiary care centerAppropriate use criteria for transthoracic echocardiography

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Clinical criteria and the appropriate use of transthoracic echocardiography for the exclusion of infective endocarditis.

BACKGROUND Clinical guidelines currently suggest that transthoracic echocardiography (TTE) be carried out in all patients with suspected endocarditis, but the use of TTE where there is a low probability of infective endocarditis has a poor diagnostic yield. This screening approach may no longer be appropriate. OBJECTIVE To examine whether clinical criteria might aid decision making with respe...

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BACKGROUND Monitoring the adherence to Appropriateness Use Criteria (AUC) has been identified as an important component for the accreditation of echocardiography laboratories. Referral requisitions are a logical tool to rapidly determine the appropriateness of transthoracic echocardiography (TTE) referrals, however data is lacking. We investigated whether standard free-form-text TTE referral re...

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Impact of a structured referral algorithm on the ability to monitor adherence to appropriate use criteria for transthoracic echocardiography

BACKGROUND Many free-form-text referral requisitions for transthoracic echocardiography (TTE) provide insufficient information to adequately evaluate their adherence to Appropriate Use Criteria (AUC). We developed a structured referral requisition algorithm based on requisition deficiencies identified retrospectively in a derivation cohort of 1303 TTE referrals and evaluated the performance of ...

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The first pediatric Appropriate Use Criteria (AUC) were recently published by the American College of Cardiology. This document consists of common clinical scenarios for which a transthoracic echocardiogram is ordered in outpatient settings. Echocardiography is the most common imaging modality used in the outpatient setting to assess children with suspected heart disease. However, it is known t...

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ژورنال

عنوان ژورنال: Revista Portuguesa de Cardiologia (English Edition)

سال: 2015

ISSN: 2174-2049

DOI: 10.1016/j.repce.2015.12.004