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Evaluation of the appropriateness criteria for coronary computed tomography angiography in an academic medical center in a developing country: Comparison of the 2006 and 2010 criteria

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dc.contributor.author Sibai K.E.
dc.contributor.author Itani S.
dc.contributor.author Rabah A.
dc.contributor.author Hourani M.
dc.contributor.author Dakik H.A.
dc.contributor.editor
dc.date Dec-2011
dc.date.accessioned 2017-10-05T15:41:30Z
dc.date.available 2017-10-05T15:41:30Z
dc.date.issued 2011
dc.identifier 10.1007/s12350-011-9437-1
dc.identifier.isbn
dc.identifier.issn 10713581
dc.identifier.uri http://hdl.handle.net/10938/18005
dc.description.abstract The aims of this study are to analyze the risk profile and evaluate the appropriateness of patient referral to coronary CT angiography in a new MSCT laboratory in an academic medical center in a developing country. The study population consisted of 100 consecutive patients (mean age 53 ± 13 years, 83percent males) who were referred to the new 64 slice MSCT laboratory at the American University of Beirut between July 2008 and July 2009. 52percent of patients had chest pain and 48percent were asymptomatic. By the 2006 ACCF criteria, only 8percent of the referrals fitted the Appropriate criteria, 49percent were Inappropriate, and 43percent were Uncertain. The percentage of Appropriate indications increased from 8percent by the 2006 criteria to 38percent by the 2010 ACCF criteria. Framingham risk score (FRS) calculation showed a substantial percentage (46percent) of patients to be at low risk, with 32percent being at intermediate risk, and 22percent at high risk. The prevalence of high calcium score (400) (0percent vs 22percent, vs 27percent, P .001) and of obstructive CAD (4percent vs 23percent vs 40percent, P .001) increased steadily across the low, intermediate, and high FRS groups, respectively. There was a significant increase in the percentage of Appropriate indications for MSCT when comparing the 2010 to the 2006 ACCF appropriateness criteria. However, in spite of that, there was still significant deviation from the ACCF appropriateness criteria among patients referred for coronary CT angiography in this new MSCT laboratory in a developing country. © 2011 American Society of Nuclear Cardiology.
dc.format.extent
dc.format.extent Pages: (1053-1058)
dc.language English
dc.publisher NEW YORK
dc.relation.ispartof Publication Name: Journal of Nuclear Cardiology; Publication Year: 2011; Volume: 18; no. 6; Pages: (1053-1058);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Evaluation of the appropriateness criteria for coronary computed tomography angiography in an academic medical center in a developing country: Comparison of the 2006 and 2010 criteria
dc.type Article
dc.contributor.affiliation Sibai, K.E., Department of Internal Medicine, American University of Beirut, P.O. Box 11-0236-A38, Beirut, Lebanon
dc.contributor.affiliation Itani, S., Department of Internal Medicine, American University of Beirut, P.O. Box 11-0236-A38, Beirut, Lebanon
dc.contributor.affiliation Rabah, A., Department of Internal Medicine, American University of Beirut, P.O. Box 11-0236-A38, Beirut, Lebanon
dc.contributor.affiliation Hourani, M., Department of Diagnostic Radiology, American University of Beirut, Beirut, Lebanon
dc.contributor.affiliation Dakik, H.A., Department of Internal Medicine, American University of Beirut, P.O. Box 11-0236-A38, Beirut, Lebanon
dc.contributor.authorAddress Dakik, H.A.; Department of Internal Medicine, American University of Beirut, P.O. Box 11-0236-A38, Beirut, Lebanon; email: hd01@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Internal Medicine;
dc.contributor.authorDepartment Internal Medicine
dc.contributor.authorDivision
dc.contributor.authorEmail hd01@aub.edu.lb
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials El Sibai, K
dc.contributor.authorInitials Itani, S
dc.contributor.authorInitials Rabah, A
dc.contributor.authorInitials Hourani, M
dc.contributor.authorInitials Dakik, HA
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Dakik, HA (reprint author), Amer Univ Beirut, Dept Internal Med, POB 11-0236-A38, Beirut, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited AGATSTON AS, 1990, J AM COLL CARDIOL, V15, P827; Bluemke DA, 2008, CIRCULATION, V118, P586, DOI 10.1161-CIRCULATIONAHA.108.189695; Desai MY, 2004, AM HEART J, V148, P871, DOI 10.1016-j.ahj.2004.05.033; Cleeman JI, 2001, JAMA-J AM MED ASSOC, V285, P2486, DOI 10.1001-jama.285.19.2486; Gibbons RJ, 2002, J AM COLL CARDIOL, V40, P1531, DOI 10.1016-S0735-1097(02)02164-2; Johnson KM, 2009, AM J ROENTGENOL, V192, P235, DOI 10.2214-AJR.08.1056; Karim R, 2008, AM J CARDIOL, V102, P825, DOI 10.1016-j.amjcard.2008.05.039; Leber AW, 2005, J AM COLL CARDIOL, V46, P147, DOI 10.1016-j.jacc.2005.03.071; Lopez AD, 2006, LANCET, V367, P1747, DOI 10.1016-S0140-6736(06)68770-9; Miller JA, 2010, J AM COLL RADIOL, V7, P125, DOI 10.1016-j.jacr.2009.08.013; Mollet NR, 2005, CIRCULATION, V112, P2318, DOI 10.1161-CIRCULATIONAHA.105.533471; Nair D, 2008, AM J CARDIOL, V102, P316, DOI 10.1016-j.amjcard.2008.03.058; Nucifora G, 2009, J NUCL CARDIOL, V16, P368, DOI 10.1007-s12350-009-9059-z; Nucifora G, 2009, AM J CARDIOL, V104, P758, DOI 10.1016-j.amjcard.2009.05.010; Raff GL, 2005, J AM COLL CARDIOL, V46, P552, DOI 10.1016-j.jacc.2005.05.056; Sung J, 2008, CORONARY ARTERY DIS, V19, P475, DOI 10.1097-MCA.0b013e3283078f9f; van Werkhoven JM, 2009, J NUCL CARDIOL, V16, P970, DOI 10.1007-s12350-009-9144-3; 2010, J AM COLL CARDIOL, V56, P1864; 2010, J AM COLL CARDIOL, V55, P2663; 2006, J AM COLL CARDIOL, V48, P1475
dc.description.citedCount 1
dc.description.citedTotWOSCount 1
dc.description.citedWOSCount 1
dc.format.extentCount 6
dc.identifier.articleNo
dc.identifier.coden JNCAE
dc.identifier.pubmedID 21833820
dc.identifier.scopusID 84655169292
dc.identifier.url
dc.publisher.address 233 SPRING ST, NEW YORK, NY 10013 USA
dc.relation.ispartofConference
dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr J. Nucl. Cardiol.
dc.relation.ispartOfIssue 6
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Journal of Nuclear Cardiology
dc.relation.ispartofPubTitleAbbr J. Nucl. Cardiol.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 18
dc.source.ID WOS:000297626600012
dc.type.publication Journal
dc.subject.otherAuthKeyword ACCF appropriateness criteria
dc.subject.otherAuthKeyword Coronary CT angiography
dc.subject.otherChemCAS
dc.subject.otherIndex adult
dc.subject.otherIndex angiocardiography
dc.subject.otherIndex article
dc.subject.otherIndex asymptomatic disease
dc.subject.otherIndex cardiovascular risk
dc.subject.otherIndex clinical assessment tool
dc.subject.otherIndex computed tomographic angiography
dc.subject.otherIndex controlled study
dc.subject.otherIndex coronary artery disease
dc.subject.otherIndex developing country
dc.subject.otherIndex diagnostic value
dc.subject.otherIndex female
dc.subject.otherIndex Framingham risk score
dc.subject.otherIndex high risk patient
dc.subject.otherIndex human
dc.subject.otherIndex Lebanon
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex multidetector computed tomography
dc.subject.otherIndex patient assessment
dc.subject.otherIndex patient referral
dc.subject.otherIndex peripheral occlusive artery disease
dc.subject.otherIndex priority journal
dc.subject.otherIndex risk assessment
dc.subject.otherIndex thorax pain
dc.subject.otherIndex Adult
dc.subject.otherIndex Aged
dc.subject.otherIndex Aged, 80 and over
dc.subject.otherIndex Cardiovascular Diseases
dc.subject.otherIndex Coronary Angiography
dc.subject.otherIndex Developing Countries
dc.subject.otherIndex Female
dc.subject.otherIndex Health Services Misuse
dc.subject.otherIndex Humans
dc.subject.otherIndex Iran
dc.subject.otherIndex Male
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Prevalence
dc.subject.otherIndex Referral and Consultation
dc.subject.otherIndex Reproducibility of Results
dc.subject.otherIndex Risk Assessment
dc.subject.otherIndex Risk Factors
dc.subject.otherIndex Sensitivity and Specificity
dc.subject.otherIndex Tomography, X-Ray Computed
dc.subject.otherKeywordPlus CARDIOVASCULAR-MAGNETIC-RESONANCE
dc.subject.otherKeywordPlus AMERICAN-HEART-ASSOCIATION
dc.subject.otherKeywordPlus SUBCLINICAL ATHEROSCLEROSIS
dc.subject.otherKeywordPlus NUCLEAR-CARDIOLOGY
dc.subject.otherKeywordPlus RISK-FACTORS
dc.subject.otherKeywordPlus RADIOLOGY
dc.subject.otherKeywordPlus QUANTIFICATION
dc.subject.otherKeywordPlus INTERVENTIONS
dc.subject.otherKeywordPlus COMMITTEE
dc.subject.otherKeywordPlus COLLEGE
dc.subject.otherWOS Cardiac and Cardiovascular Systems
dc.subject.otherWOS Radiology, Nuclear Medicine and Medical Imaging


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