How compliant are we with guidelines for coronary angiography in clinical practice?

Background: The American College of Cardiology and American Heart Association have published guidelines for coronary angiography. We evaluated the compliance rate with these guidelines in clinical practice, its correlation to results of angiography and aimed to identify problem areas of non‐complian...

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Bibliographic Details
Published in:Internal medicine journal 2007-10, Vol.37 (10), p.699-704
Main Authors: Leung, D. Y., Hallani, H., Lo, S. T., Hopkins, A. P., Juergens, C. P.
Format: Article
Language:English
Subjects:
adherence
Aged
Cardiovascular Diseases - diagnostic imaging
Cardiovascular Diseases - therapy
compliance
coronary angiography
Coronary Angiography - standards
Female
guideline
Humans
Male
Middle Aged
Practice Guidelines as Topic - standards
Prospective Studies
Referral and Consultation - standards
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Summary:Background: The American College of Cardiology and American Heart Association have published guidelines for coronary angiography. We evaluated the compliance rate with these guidelines in clinical practice, its correlation to results of angiography and aimed to identify problem areas of non‐compliance. Methods: We prospectively evaluated 802 consecutive referrals for coronary angiography over 5 months in 2002 in a tertiary referral hospital. These referrals were assessed by two independent reviewers blinded to the results of angiography. Results: Patient age was 62 ± 11 years (522 men, 433 inpatients, 369 day‐only patients). Referrals were outside published guidelines in 34.3 and 36.2% as evaluated by the two reviewers (concordance rate 88.2%, κ = 0.74, p 
ISSN:1444-0903
1445-5994
DOI:10.1111/j.1445-5994.2007.01390.x