학술논문
Poster session 2
Document Type
Article
Author
Martins Fernandes, S; Teixeira, R; Roussin, I; Lynch, M; Badano, L; Muraru, D; Romeo, G; Ermacora, D; Marotta, C; Aruta, P; Cucchini, U; Iliceto, S; Garcia Campos, A; Martin-Fernandez, M; De La Hera Galarza, JM; Corros-Vicente, C; Colunga Blanco, S; Velasco-Alonso, E; Leon-Aguero, V; Rodriguez-Suarez, ML; Moris De La Tassa, C; Erdei, T; Edwards, J; Braim, D; Price, C; Fraser, AG; Cardiff; Investigators, MEDIA; Mehdipoor, G; Salmani, F; Arjmand Shabestari, A; Hanboly, N; Michalski, BW; Szymczyk, E; Kupczynska, K; Peczek, L; Nawrot, B; Lipiec, P; Kasprzak, JD; Vriz, O; Driussi, C; Ferrara, F; Brosolo, G; Antonini-Canterin, F; Magne, J; Aboyans, V; Bossone, E; Mo, VY; Bellucci, BM; Fisher, JM; Balekian, AA; Le, T T; Idapalapati, S; Huang, F; Wong, JI; Tan, RS; Ribeiro, JM; Teixeira, R; Madeira, M; Almeida, I; Reis, L; Siserman, A; Dinis, P; Dias, L; Ramos, AP; Goncalves, L; Ternacle, J; Wan, FW; Sawaki, DS; Dubois-Rande, JLDR; Adnot, SA; Czibik, GC; Derumeaux, GD; Yurdakul, SELEN; Ercan, G; Tekkesin, ILKER; Sahin, ST; Cengiz, B; Celik, G; Demircan, S; Aytekin, SAIDE; Shetye, A; Razvi, NA; Nazir, SA; Price, N; Khan, JN; Kanagala, P; Singh, A; Squire, I; Mccann, GP; Stoebe, S; Langel, M; Pfeiffer, D; Hagendorff, A; Lisowska, A; Ptaszynska-Kopczynska, K; Marcinkiewicz-Siemion, M; Knapp, M; Witkowski, M; Musial, WJ; Kaminski, K; Chinali, M; Natali, B; D' Anna, C; Leonardi, B; Secinaro, A; Pongiglione, G; Rinelli, G; Orabona, M; Renard, S; Michel, N; Mancini, J; Haentjens, J; Sitbon, O; Habib, G; Contaldi, C; Imbriaco, M; Alcidi, G; Santoro, C; Buonauro, A; Lo Iudice, F; Lembo, M; Cuocolo, A; Trimarco, B; Galderisi, M; De La Chica, JA; Mora Robles, J; Roldan Jimenez, MA; Mancisidor, MA; De Mora, MA; Codolosa, JN; Alnabelsi, T; Goykhman, I; Koshkelashvili, N; Romero-Corral, A; Pressman, GS; Trzcinski, P; Michalski, BW; Kupczynska, K; Miskowiec, D; Lipiec, P; Kasprzak, JD; Prado Diaz, S; Montoro Lopez, N; Refoyo Salicio, E; Valbuena Lopez, SC; Gonzalez, O; Alvarez, C; Moreno Yanguela, M; Bartha Rasero, JL; De La Calle, M; Guzman Martinez, G; Morales Portano, J D; Suarez-Cuenca, JA; Merino, JA; Gomez Alvarez, E B; Delgado, LG; Ha, SJ; Woo, YM; Bang, WD; Sohn, GH; Cheong, SS; Yoo, SY; Valente, F; Rodriguez Palomares, JF; Gutierrez, L; Maldonado, G; Pineda, V; Galian, L; Teixido, G; Gonzalez Allujas, MT; Evangelista, A; Garcia Dorado, D; Joseph, G; Zaremba, T; Ekeloef, S; Heiberg, E; Engblom, H; Jensen, SE; Sogaard, P; Valente, F; Rodriguez Palomares, JF; Gutierrez, L; Garcia, G; Pineda, V; Galian, L; Teixido, G; Gonzalez Allujas, MT; Evangelista, A; Garcia Dorado, D; Scali, MC; Dini, FL; Galli, F; Lattanzi, F; Picano, E; Marzilli, M; Cordeiro, F; Leao, S; Moz, M; Magalhaes, P; Trigo, J; Mateus, PS; Ferreira, A; Moreira, JI; Duchateau, N; De Craene, M; Legallois, D; Labombarda, F; Pellissier, A; Sermesant, M; Saloux, E; Fabris, E; Merlo, M; Moretti, M; Barbati, G; Stolfo, D; Gigli, M; Pinamonti, B; Sinagra, G; Costantino, MF; Dores, E; Matera, A; Innelli, P; Innelli, P; Lopizzo, A; Violini, R; Fiorilli, R; Cappabianca, G; Picano, E; Tarsia, G; Cho, I J; Seo, J; Chang, HJ; Heo, R; Kim, IC; Shim, CY; Hong, GR; Chung, N; Goublaire, C; Melissopoulou, MM; Nguyen, V; Brochet, E; Cimadevilla, C; Codogno, I; Vahanian, A; Messika-Zeitoun, D; Lam, W; Pontana, F; Vassiliou, V; Prasad, S; Galli, E; Leclercq, C; Samset, E; Donal, E; Kim, KH; Lim, DS; Mariani, M; Bianchi, G; Rossi, F; Gianetti, J; Marchi, F; Cerone, E; Nardelli, A; Terrazzi, M; Solinas, M; Maffei, S; Malev, E; Pshepiy, A; Vasina, L; Timofeev, E; Reeva, S; Zemtsovsky, E; Zuercher, F; Brugger, N; Jahren, S; De Marchi, SF; Seiler, C; Tang, Z; Jin, CN; Tang, H; Fan, K; Kam, K; Yan, BP; Yu, CM; Lee, PW; Cimino, S; Reali, M; Silvetti, E; Salatino, T; Mancone, M; Pennacchi, M; Giordano, A; Sardella, G; Agati, L; Mahia, P; Tirado, G; Nogales-Romo, MT; Marcos-Alberca, P; De Agustin, A; Almeria, C; Rodrigo, JL; Garcia Fernandez, MA; Macaya, C; Perez De Isla, L; De La Chica, JA; Mancisidor, M; Lara Garcia, C; Vivancos, R; De Mora, M; Petrovic, J; Petrovic, M; Vujisic-Tesic, B; Trifunovic, D; Boricic-Kostic, M; Petrovic, I; Draganic, G; Petrovic, O; Tomic-Dragovic, M; Ciobotaru, V; Remsey- Semmelweiss, E; Kogoj, P; Furlan, T; Ambrozic, J; Mohorko Pleskovic, PN; Bunc, M; Guerreiro, S; Ribeiras, R; Abecasis, J; Andrade, MJ; Mendes, M; Saxena, A; Ramakrishnan, S; Gupta, SK; Juneja, R; Kothari, SS; Mozenska, O; Zaleska, M; Segiet, A; Chwesiuk, S; Kroc, A; Kosior, DA; Pontone, G; Andreini, D; Solbiati, A; Guglielmo, M; Mushtaq, S; Baggiano, A; Beltrama, V; Rota, C; Guaricci, AI; Pepi, M; Macaya Ten, F; Pons Llinares, J; Asmarats Serra, L; Pericas Ramis, P; Caldes Llull, O; Grau Sepulveda, A; Frontera, G; Vaquer Segui, A; Noris, M; Bethencourt Gonzalez, A; Caballero, L; Climent Paya, V; Martinez Moreno, M; Saura, D; Oliva, MJ; Sanchez Quinones, J; Garcia Honrubia, A; Valdes, M; De La Morena, G; Avegliano, G; Terricabras, M; Costabel, JP; Ronderos, R; Evangelista, A; Venturini, C; Galve, E; Halmai, L; Nemes, A; Neubauer, S; Rahman Haley, S; Banner, N; Reis, L; Teixeira, R; Caetano, F; Almeida, I; Trigo, J; Botelho, A; Silva, J; Nascimento, J; Goncalves, L; Trifunovic, D; Tesic, M; Jovanovic, I; Petrovic, O; Boricic-Kostic, M; Dragovic, M; Petrovic, M; Stepanovic, J; Banovic, M; Vujisic-Tesic, B; Gospodinova, M; Guergelcheva, V; Chamova, T; Sarafov, S; Tournev, I; Denchev, S; Makavos, G; Ikonomidis, I; Psarogiannakopoulos, P; Tsirigotis, P; Paraskevaidis, I; Lekakis, J; D'ascenzi, F; Pelliccia, A; Natali, BM; Cameli, M; Focardi, M; Bonifazi, M; Mondillo, S; Dantas Tavares De Melo, M; Lima, C; Assed, L; Kalil Filho, R; Mady, C; Bochi, E A; Salemi, V M C; Bonapace, S; Targher, G; Valbusa, F; Rossi, A; Lanzoni, L; Lipari, P; Zenari, L; Molon, G; Canali, G; Barbieri, E; Kulkarni, A; Li, L; Craft, M; Nanda, M; Lorenzo, JM; Kutty, S; Cameli, M; Bombardini, T; Sparla, S; Di Tommaso, C; Losito, M; Incampo, E; Maccherini, M; Mondillo, S; Ingvarsson, A; Werther Evaldsson, A; Radegran, G; Stagmo, M; Waktare, J; Roijer, A; Meurling, CJ; Driessen, MMP; Hui, W; Meijboom, FJ; Bijnens, B; Dragulescu, A; Mertens, L; Friedberg, MK; Tufekcioglu, O; Sensoy, B; Suleymanoglu, M; Akin, Y; Sahan, E; Sasmaz, H; Radulescu, D; Pasca, L; Buzdugan, E; Chis, B; Stoicescu, L; Barac, A; Lynce, FC; Smith, KL; Mete, M; Isaacs, C; Cioffi, G; Viapiana, O; Di Nora, C; Ognibeni, F; Fracassi, E; Giollo, A; Mazzone, C; Faganello, G; Di Lenarda, A; Rossini, M; Almeida Morais, L; Galrinho, A; Branco, L; Timoteo, A T; Rodrigues, I; Daniel, P; Rosa, S; Ferreira, L; Ferreira, R; Ledakowicz-Polak, A; Polak, L; Krauza, G; Stokfisz, K; Zielinska, M; Portugal, G; Branco, L M; Galrinho, A; Mota Carmo, M; Teresa Timoteo, A; Aguiar Rosa, S; Abreu, J; Pinto Teixeira, P; Viveiros Monteiro, A; Cruz Ferreira, R; Naksuk, N; Peeraphatdit, T; Chaiteerakij, R; Klarich, KW; Parato, V M; Masia, S; Kovalova, S; Necas, J; Cherubini, A; Nistri, S; Negri, F; Barbati, G; Cioffi, G; Russo, G; Mazzone, C; Faganello, G; Pandullo, C; Di Lenarda, A; Corrado, G; Durante, A; Rovelli, E; Genchi, V; Trabattoni, L; Zerboni, SC; Cattaneo, L; Butti, E; Ferrari, G; Malev, E; Luneva, E; Mitrofanova, L; Uspensky, V; Zemtsovsky, E; Wierzbowska-Drabik, K; Kasprzak, JD; Lesevic, H; Rosner, S; Karl, M; Ott, I; Sonne, C; Laredj, N; Ali Lahmar, HM; Hammou, L; Pieles, G E; Forsey, J; Gowing, L; Miller, F; Ramanujam, P; Stuart, AG; Williams, CA; Generati, G; Bandera, F; Pellegrino, M; Carbone, F; Labate, V; Alfonzetti, E; Guazzi, M; Van Zalen, JJ; Patel, NR; Raju, P; Beale, L; Brickley, G; Lloyd, GW; Aquila, I; Fernandez-Golfin, C; Gonzalez, A; Rincon, LM; Hinojar, R; Garcia, A; Megias, A; Jimenez-Nacher, JJ; Moya, JL; Zamorano, JL; Cheng, H-L; Lanzoni, L; Molon, G; Canali, G; Bonapace, S; Chiampan, A; Albrigi, L; Barbieri, E; Asmarats Serra, L; Noris Mora, M; Rodriguez Fernandez, A; Exposito Pineda, C; Grande, C; Gonzalez Colino, R; Macaya Ten, F; Fernandez Vazquez, X; Fortuny Frau, E; Bethencourt Gonzalez, A; Kadrabulatova, S; Ranjbar, S; Karvandi, M; Szczesniak-Stanczyk, D; Blaszczyk, R; Zarczuk, R; Brzozowski, W; Janowski, M; Wysokinski, A; Stanczyk, B; Consortium, ReMeDi; Sharka, I; Myftiu, S; Teferici, D; Quka, A; Dado, E; Djamandi, J; Kresto, L; Duka, A; Kristo, A; Balla, I; Di Salvo, G; Issa, Z; Moiduddin, N; Siblini, G; Bulbul, Z; Ben Kahla, S; Abid, L; Abid, D; Kammoun, S; Li, L; Rush, E; Craft, M; Goodwin, J; Kreikemeier, R; Cantinotti, M; Kutty, S; Hadeed, HA; Zolaly, M A; Khoshhal, SQ; El-Harbi, K; Tarawah, A; Al-Hawsawi, Z; Al-Mozainy, I; Habeeb, H A; Bakhoum, S W G; Nabil, M N; Elebrashy, I N; Toscano, A; Chinali, M; Albanese, S; Carotti, A; Iacobelli, R; Esposito, C; Secinaro, A; Moscogiuri, G; Pasquini, L; Granata, F; Malvezzi Caracciolo, M; Bianchi, RM; Caso, P; Arenga, F; Riegler, L; Scarafile, R; D'andrea, A; Russo, MG; Calabro', P; Djikic, D; Simic, DS; Peric, VP; Mujovic, NM; Marinkovic, MM; Jankovic, NJ; Wdowiak-Okrojek, K; Shim, A; Wejner-Mik, P; Kasprzak, JD; Lipiec, P; Girgis, H Y A; Sharma, A; Jain, N; Kharwar, R; Saran, RK; Narain, VS; Dwivedi, SK; Sethi, R; Chandra, S; Pradhan, A; Safal, S; Soro, C; Marchetti, MF; Cacace, C; Congia, M; Nissardi, V; Ruscazio, M; Meloni, L; Montisci, R; Gallego Page, J C; Gallego Sanchez, G; Calero, S; Portero, JJ; Tercero, A; Garcia, JC; Barambio, M; Martinez Lazaro, R; Corneli, M; Meretta, AH; Perea, GO; Belcastro, F; Aguirre, E; De Luca, I; Henquin, R; Masoli, O
Source
European Journal of Echocardiography; December 2015, Vol. 16 Issue: Supplement 2 pS73-S73, 1p
Subject
Language
ISSN
15252167; 15322114
Abstract
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. Results: Our sample had a mean age of 63 ± 17 years with a gender balance. The majority of the exams were requested at the outpatient (81.4%) clinic, by cardiologists (50.3%) and general practitioners (13.4%). Regarding the main findings, in 7.6% of the studies there were moderate to severe systolic dysfunction; 4.0% showed severe valvular heart disease and 5.1% had significant pulmonary hypertension. Relatively to the appropriateness of the TTE requests, 76.5% were considered appropriate, 7.1% inappropriate and 12.6% uncertain. With respect to the clinical impact of the TTE’s, 42.7% of the exams led to an active change in care, 15.6% to a continuation of the care and 11.5% revealed no change in care. Age (β0.90, P=0.05) and outpatient setting (β4.4, P<0.01) were the most important predictors of an active change of care exam. On the contrary, the appropriateness of the TTE’s requests (β1.1, P=0.56) and the specialist ordering the exams (β0.81, P=0.26) were not independently associated. Conclusion: Our data showed that almost 8 out of 10 TTE were considered appropriate, and 4 out of 10 exams had an active clinical impact.