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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0645115
Code Inist : 002B12B06. Création : 09/06/1995.