Progetto "Appropriatezza ECO Milano". Valutazione basale dell'appropriatezza delle indicazioni, della modalità delle prescrizioni e dell'utilità clinica dell'esame ecocardiografico bidimensionale color Doppler all'interno delle aziende ospedaliere e sul territorio

Translated title of the contribution: The "Appropriatezza ECO Milano" project. Basal assessment of appropriateness of indications, prescriptions and clinical use of two-dimensional Doppler echocardiography in the whole hospital unit and its territory

Antonio Mantero, Francesco Gentile, Antonia Alberti, Chiara Bencini, Amedeo Bongarzoni, Renato Bragato, Giovanna Branzi, Franco Casazza, Alessandro Cialfi, Livia Dihel, Erminia Giagnoni, Joanna Heyman, Leonida Lombardi, Roberto Mattioli, Anna Alice Mazzola, Vincenzo Montericcio, Mauro Pepi, Maurizio Tusa, Alberto Morabito

Research output: Contribution to journalArticle

Abstract

Background. The value of echocardiography in the diagnosis and follow-up of most cardiovascular diseases is well established, even though the ever-increasing demand for the use of this technique is not always justifiable. The "Appropriatezza ECO Milano" project was developed among hospitals in Milan (Italy) to foster a rational use of echocardiography. The aim of this study was to evaluate and improve appropriateness of requests for two-dimensional color Doppler echocardiography, considering indications, prescription behaviors and clinical utility in both the outpatient and inpatient settings. Methods. Following several meetings, a consensus was reached whereby a multicenter, observational study would be undertaken. We assessed the value of each request in agreement with the 2003 American College of Cardiology/American Heart Association/American Society of Echocardiography guidelines. An ad hoc Microsoft Access database was developed to collect study data, which refer to May 2007. Eleven hospitals participated in the study. Results. 4130 echocardiographic examinations were considered (2300 performed in men and 1830 performed in women; mean age 64 ± 16 years); 1701 examinations were performed in hospitalized patients and 2429 in outpatients. The incidence of pathological findings was higher in hospitalized patients (73%) than in outpatients (53%) (Pearson χ2 = 29, p 2 = 99; p 2 = 277, p 2 = 413, p 2 = 584, p

Original languageItalian
Pages (from-to)844-852
Number of pages9
JournalGiornale Italiano di Cardiologia
Volume9
Issue number12
Publication statusPublished - Dec 2008

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Hospital Units
Doppler Echocardiography
Prescriptions
Outpatients
Echocardiography
Italy
Multicenter Studies
Observational Studies
Inpatients
Cardiovascular Diseases
Color
Databases
Guidelines
Incidence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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Progetto "Appropriatezza ECO Milano". Valutazione basale dell'appropriatezza delle indicazioni, della modalità delle prescrizioni e dell'utilità clinica dell'esame ecocardiografico bidimensionale color Doppler all'interno delle aziende ospedaliere e sul territorio. / Mantero, Antonio; Gentile, Francesco; Alberti, Antonia; Bencini, Chiara; Bongarzoni, Amedeo; Bragato, Renato; Branzi, Giovanna; Casazza, Franco; Cialfi, Alessandro; Dihel, Livia; Giagnoni, Erminia; Heyman, Joanna; Lombardi, Leonida; Mattioli, Roberto; Mazzola, Anna Alice; Montericcio, Vincenzo; Pepi, Mauro; Tusa, Maurizio; Morabito, Alberto.

In: Giornale Italiano di Cardiologia, Vol. 9, No. 12, 12.2008, p. 844-852.

Research output: Contribution to journalArticle

Mantero, A, Gentile, F, Alberti, A, Bencini, C, Bongarzoni, A, Bragato, R, Branzi, G, Casazza, F, Cialfi, A, Dihel, L, Giagnoni, E, Heyman, J, Lombardi, L, Mattioli, R, Mazzola, AA, Montericcio, V, Pepi, M, Tusa, M & Morabito, A 2008, 'Progetto "Appropriatezza ECO Milano". Valutazione basale dell'appropriatezza delle indicazioni, della modalità delle prescrizioni e dell'utilità clinica dell'esame ecocardiografico bidimensionale color Doppler all'interno delle aziende ospedaliere e sul territorio', Giornale Italiano di Cardiologia, vol. 9, no. 12, pp. 844-852.
Mantero, Antonio ; Gentile, Francesco ; Alberti, Antonia ; Bencini, Chiara ; Bongarzoni, Amedeo ; Bragato, Renato ; Branzi, Giovanna ; Casazza, Franco ; Cialfi, Alessandro ; Dihel, Livia ; Giagnoni, Erminia ; Heyman, Joanna ; Lombardi, Leonida ; Mattioli, Roberto ; Mazzola, Anna Alice ; Montericcio, Vincenzo ; Pepi, Mauro ; Tusa, Maurizio ; Morabito, Alberto. / Progetto "Appropriatezza ECO Milano". Valutazione basale dell'appropriatezza delle indicazioni, della modalità delle prescrizioni e dell'utilità clinica dell'esame ecocardiografico bidimensionale color Doppler all'interno delle aziende ospedaliere e sul territorio. In: Giornale Italiano di Cardiologia. 2008 ; Vol. 9, No. 12. pp. 844-852.
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T1 - Progetto "Appropriatezza ECO Milano". Valutazione basale dell'appropriatezza delle indicazioni, della modalità delle prescrizioni e dell'utilità clinica dell'esame ecocardiografico bidimensionale color Doppler all'interno delle aziende ospedaliere e sul territorio

AU - Mantero, Antonio

AU - Gentile, Francesco

AU - Alberti, Antonia

AU - Bencini, Chiara

AU - Bongarzoni, Amedeo

AU - Bragato, Renato

AU - Branzi, Giovanna

AU - Casazza, Franco

AU - Cialfi, Alessandro

AU - Dihel, Livia

AU - Giagnoni, Erminia

AU - Heyman, Joanna

AU - Lombardi, Leonida

AU - Mattioli, Roberto

AU - Mazzola, Anna Alice

AU - Montericcio, Vincenzo

AU - Pepi, Mauro

AU - Tusa, Maurizio

AU - Morabito, Alberto

PY - 2008/12

Y1 - 2008/12

N2 - Background. The value of echocardiography in the diagnosis and follow-up of most cardiovascular diseases is well established, even though the ever-increasing demand for the use of this technique is not always justifiable. The "Appropriatezza ECO Milano" project was developed among hospitals in Milan (Italy) to foster a rational use of echocardiography. The aim of this study was to evaluate and improve appropriateness of requests for two-dimensional color Doppler echocardiography, considering indications, prescription behaviors and clinical utility in both the outpatient and inpatient settings. Methods. Following several meetings, a consensus was reached whereby a multicenter, observational study would be undertaken. We assessed the value of each request in agreement with the 2003 American College of Cardiology/American Heart Association/American Society of Echocardiography guidelines. An ad hoc Microsoft Access database was developed to collect study data, which refer to May 2007. Eleven hospitals participated in the study. Results. 4130 echocardiographic examinations were considered (2300 performed in men and 1830 performed in women; mean age 64 ± 16 years); 1701 examinations were performed in hospitalized patients and 2429 in outpatients. The incidence of pathological findings was higher in hospitalized patients (73%) than in outpatients (53%) (Pearson χ2 = 29, p 2 = 99; p 2 = 277, p 2 = 413, p 2 = 584, p

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KW - Appropriateness

KW - Color Doppler echocardiography

KW - Diagnostic imaging

KW - Guideline adherence

KW - Healthcare evaluation mechanisms

KW - Quality of healthcare

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