Gray D, Hampton J R, Bernstein S J, Kosecoff J, Brook R H
Department of Medicine, University Hospital, Nottingham, UK.
Lancet. 1990 Jun 2;335(8701):1317-20. doi: 10.1016/0140-6736(90)91196-h.
The appropriateness of coronary angiography and coronary artery bypass surgery in the Trent regional health authority was assessed by comparison with predetermined consensus criteria. 49% of coronary angiographies were considered to be entirely appropriate in relation to the patient's clinical condition, but 21% were deemed inappropriate. Coronary artery bypass surgery was considered appropriate in 55% of patients, but inappropriate in 16%. Audit by "appropriateness" scores may help to determine which patients should first be investigated and treated when resources are limited and waiting lists are long.
通过与预先确定的共识标准进行比较，对特伦特地区卫生当局进行冠状动脉造影和冠状动脉搭桥手术的适宜性进行了评估。49%的冠状动脉造影被认为与患者的临床状况完全适宜，但21%被认为不适宜。55%的患者冠状动脉搭桥手术被认为是适宜的，但16%是不适宜的。通过“适宜性”评分进行审计，可能有助于确定在资源有限且等候名单很长时，哪些患者应首先接受检查和治疗。
