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  1. The low risk cardiac patient : an opportunity for cost containment.

    Article - En anglais

    The pressure to maintain high standards in the face of diminished medical funding has promoted a search for a low risk group of patients seen in cardiac practice in whom diagnostic and therapeutic technologies can be kept to a minimum.

    This study reports experience in a single cardiology practice in which all patients had a history taken, a clinical examination performed, and most had an electrocardiogram.

    Thereafter investigation and treatment was tailored to the individual patient's need.

    A retrospective study of 113 patients revealed that 93 (82%) had high risk characteristics prior to their death :

    • cardiac failure ;

    • unstable coronary heart disease ;

    • clinical or laboratory evidence of poor systolic function of the left ventricle or inoperable coronary artery disease ;

    • elective major surgery ;

    • evidence of poor prognosis due to non-cardiac disease.

    Mots-clés Pascal : Appareil circulatoire pathologie, Diagnostic, Risque, Faible, Pronostic, Analyse coût efficacité, Economie santé, Homme, Ambulatoire, Choix, Technique

    Mots-clés Pascal anglais : Cardiovascular disease, Diagnosis, Risk, Low, Prognosis, Cost efficiency analysis, Health economy, Human, Ambulatory, Choice, Technique

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 94-0645115

    Code Inist : 002B12B06. Création : 09/06/1995.