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医生对新程序的熟悉会带来更多患者转诊:科索沃冠状动脉造影的经验。

Physicians' acquaintance with a new procedure results in higher patient referral: experience of Kosovo in coronary angiography.

作者信息

Bakalli Aurora, Bekteshi Tefik, Sejdiu Basri

机构信息

Department of Cardiology, University Clinical Center of Kosova, Prishtina and Cardiology Diagnostic Center-Diagnostika, Vushtrri, Kosovo.

出版信息

Heart Int. 2012 Feb 3;7(1):e6. doi: 10.4081/hi.2012.e6. Epub 2012 Feb 17.

DOI:10.4081/hi.2012.e6
PMID:22690299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3366302/
Abstract

UNLABELLED

The first coronary angiography in Kosovo was completed in 2003. We analyzed coronary angiographies performed in our center from October 2003 until October 2009 divided into two 3-year periods.

THE AIMS OF OUR STUDY WERE

to compare the number of coronary angiographies completed in the two periods; to evaluate the prevalence of normal coronary angiographies diagnosed in the first period compared to the second period; and to assess the prevalence of advanced coronary artery disease in the first three years compared to the last three years. This was a prospective angiography study that included 1,139 patients. The first group had 422 patients, who underwent the angiography procedure during the first three years, and the second group had 717 patients that went through the procedure during the last three years. In the first year, 109 coronary angiographies were completed, followed by 137, 176, 213, 218 and 286 (P<0.001) procedures in the subsequent years. In the first period, a normal or near-normal coronary artery profile was found in 27% of patients, while this figure rose to approximately 39% in the second period (P=0.004). Advanced coronary artery disease was found in 45% of the patients who underwent coronary angiography during the first three years, whereas this figure was only 24% of cases during the second period (P<0.001). We believe that the availability of specialized resources and the physicians' familiarity with coronary angiography in our country influenced their decision to refer more patients for this procedure.

摘要

未标注

科索沃的首例冠状动脉造影于2003年完成。我们分析了2003年10月至2009年10月在我们中心进行的冠状动脉造影,分为两个3年期。

我们研究的目的是

比较两个时期完成的冠状动脉造影数量;评估第一期与第二期诊断的正常冠状动脉造影的患病率;以及评估前三年与后三年晚期冠状动脉疾病的患病率。这是一项前瞻性血管造影研究,包括1139名患者。第一组有422名患者,他们在头三年接受了血管造影检查,第二组有717名患者在最后三年接受了该检查。第一年完成了109例冠状动脉造影,随后几年分别为137例、176例、213例、218例和286例(P<0.001)。在第一期,27%的患者冠状动脉轮廓正常或接近正常,而在第二期这一数字升至约39%(P=0.004)。在前三年接受冠状动脉造影的患者中,45%发现有晚期冠状动脉疾病,而在第二期这一数字仅为24%(P<0.001)。我们认为,我国专门资源的可用性以及医生对冠状动脉造影的熟悉程度影响了他们将更多患者转诊进行该检查的决定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a64/3366302/d71f93c3e7e1/hi-2012-1-e6-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a64/3366302/d71f93c3e7e1/hi-2012-1-e6-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a64/3366302/d71f93c3e7e1/hi-2012-1-e6-g001.jpg

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