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Comparison of the 2007 and 2011 Appropriate Use Criteria for Transesophageal Echocardiography.
MedLine Citation:
PMID:  22884515     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: The 2007 appropriate use criteria (AUC) for echocardiography were revised in 2011 to cover a wider range of scenarios of use. The aim of this study was to compare the 2011 AUC with the 2007 AUC to determine if the 2011 AUC better classify transesophageal echocardiography (TEE) and to determine the impact of the 2011 AUC on the rates of appropriate and inappropriate TEE at an academic medical center. METHODS: A retrospective chart review was conducted to examine inpatient and outpatient TEE utilization. TEE ordering behavior was compared using both the 2007 and 2011 AUC, and studies were classified as appropriate, uncertain, inappropriate, or not classifiable. RESULTS: We reviewed 202 consecutive transesophageal echocardiographic studies (154 inpatient, 48 outpatient) performed in 2011. Using the 2007 AUC, 166 studies (82%) were classifiable, and using the 2011 AUC, 199 (99%) were classifiable (P < .001). Among the classified studies, the percentage of appropriate studies using the 2007 AUC was 94% and using the 2011 AUC was 95% (P = .68). Using 2007 and 2011 AUC, the percentages of inappropriate studies were 0% and 4% (P = .02), and the percentages of uncertain studies were 6% and 1% (P = .006), respectively. CONCLUSIONS: The 2011 AUC classify a significantly greater proportion of transesophageal echocardiographic studies than the 2007 AUC. The rate of inappropriate studies using the 2011 AUC is higher than when using the 2007 AUC. These findings suggest that the expanded AUC offer an opportunity for improvement in the utilization of TEE.
Authors:
R Sacha Bhatia; Dana M Carne; Michael H Picard; Rory B Weiner
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-9
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  -     ISSN:  1097-6795     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.
Affiliation:
Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts.
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