Diagnostic and treatment utility of echocardiography in the management of the cardiac patient

作     者：Ariella Khalili Jennifer Drummond Neiman Ramjattan Roman Zeltser Amgad N Makaryus 

作者机构：North Shore Hebrew AcademyGreat NeckNY 11020United States Department of Internal MedicineTufts Medical CenterBostonMA 10211United States Department of CardiologyNassau University Medical CenterEast MeadowNY 11554United States Department of CardiologyDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellHempsteadNY 11549United States 

出 版 物：《World Journal of Cardiology》 (世界心脏病学杂志（英文版）（电子版）)

年 卷 期：2020年第12卷第6期

页      面：262-268页

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 1002[医学-临床医学] 08[工学] 1010[医学-医学技术（可授医学、理学学位）] 10[医学] 

主　　题：Echocardiogram Utilization Cardiology Inpatient Survey Management 

摘      要：BACKGROUND Echocardiograms are an incredibly useful diagnostic tool due to their lack of harmful radiation,the relative ease and speed with which they can be performed,and their almost ubiquitous ***,the advantages that support the use of echocardiography can also lead to the overuse of this *** sought to evaluate the physician perceived impact echocardiography has on patient *** To evaluate the physician perceived impact echocardiography has on patient *** Surveys were distributed to the ordering physician for echocardiograms performed at our institution over a 10-wk *** transthoracic echocardiograms performed on the inpatient service were *** were distributed to either the attending physician or the resident physician listed on the echocardiogram *** information requested in the survey focused on the indication for the study and the perceived importance and effect of the *** statistical analysis was performed on all of the answers from the collected *** A total of 103 surveys were obtained and *** internal medicine(57%)and cardiology(37%)specialties ordered the most *** most common reason for ordering an echocardiogram was to rule out a diagnosis(38.2%).Only 27.5%of physicians reported that the echocardiogram significantly affected patient care,with 18.6%reporting a moderate effect,and 30.4%reporting a mild effect.A total of 19.6%of physicians stated that there was no effect on patient ***,43.1%of physicians reported that they made changes in patient management due to no change having occurred in the disease,11.8%reported that changes in management were based on the recommendation of a specialist,and only 9.8%reported that further imaging was ordered due to the results of the *** majority of physicians(67.6%)considered an echocardiogram to be“somewhat essentialin the management of adult inpat