To evaluate the safety, efficacy, and feasibility of the technician run open access exercise electrocardiography service at Freeman Hospital.
Design-Questionnaire analysis of the responses of the general practitioners of randomly selected patients who used the service.
Setting-A tertiary care cardiac centre, providing an open access service to general practitioners in the community.
Patients-269 patients randomly selected from 552 who underwent open access exercise electrocardiography over a 2.5 year period.
The reasons for referral, whether the service was optimally used by the general practitioners, and its effect on their management practice ; effect on number of cardiology referrals ; benefit to the patients ; safety, efficacy, and feasibility of a technician run service ; general practitioners'assessment of the service.
147 of 178 general practitioners (82.6%) responded to the questionnaire, on 247 of 269 patients (91.8%). General practitioners used the service for diagnosing ischaemic heart disease in 72.5% of cases, for prognostic purposes in 17.8%, or both in 5.3%. In 197 cases (79.8%), the general practitioners felt that the service had changed the way they managed their patients.
The exercise test was positive in 90 patients (36.5%) and identified 38 as at high risk.
The service was effective in optimising the cardiology service by reducing referrals by 47%. (...)
Mots-clés Pascal : Electrocardiographie, Epreuve effort, Homme, Accès libre, Exploration, Médecin généraliste, Pratique professionnelle, Appareil circulatoire pathologie, Royaume Uni, Europe, Indication, Electrodiagnostic
Mots-clés Pascal anglais : Electrocardiography, Exercise tolerance test, Human, Open access, Exploration, General practitioner, Professional practice, Cardiovascular disease, United Kingdom, Europe, Indication, Electrodiagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0481519
Code Inist : 002B24D01. Création : 22/03/2000.