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首页> 外文期刊>Journal of the American Society of Echocardiography: official publication of the American Society of Echocardiography >ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/SCCM/SCCT/SCMR 2011 Appropriate Use Criteria for Echocardiography. A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Society of Echocardiography, American Heart Association, American Society of Nuclear Cardiology, Heart Failure Society of America
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ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/SCCM/SCCT/SCMR 2011 Appropriate Use Criteria for Echocardiography. A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Society of Echocardiography, American Heart Association, American Society of Nuclear Cardiology, Heart Failure Society of America

机译：ACCF / ASE / AHA / ASNC / HFSA / HRS / SCAI / SCCM / SCCT / SCMR 2011超声心动图的适当使用标准。美国心脏病学会基金会适当使用标准特别工作组的报告，美国超声心动图学会，美国心脏协会，美国核心脏病学会，美国心力衰竭学会

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The American College of Cardiology Foundation (ACCF), in partnership with the American Society of Echocardiography (ASE) and along with key specialty and subspecialty societies, conducted a review of common clinical scenarios where echocardiography is frequently considered. This document combines and updates the original transthoracic and transesophageal echocardiography appropriateness criteria published in 2007 (1) and the original stress echocardiography appropriateness criteria published in 2008 (2). This revision reflects new clinical data, reflects changes in test utilization patterns,and clarifies echocardiography use where omissions or lack of clarity existed in the original criteria.The indications (clinical scenarios)were derived from common applications or anticipated uses, as well as from current clinical practice guidelines and results of studies examining the implementation of the original appropriate use criteria (AUC).The 202 indications in this document were developed by a diverse writing group and scored by a separate independent technical panel on a scale of 1 to 9,to designate appropriate use(median 7 to 9), uncertain use(median 4 to 6), and inappropriate use (median 1 to 3). Ninety-seven indications were rated as appropriate, 34 were rated as uncertain, and 71 were rated as inappropriate. In general,the use of echocardiography for initial diagnosis when there is a change in clinical status or when the results of the echocardiogram are anticipated to change patient management were rated appropriate. Routine testing when there was no change in clinical status or when results of testing were unlikely to modify management were more likely to be inappropriate than appropriate/uncertain.The AUC for echocardiography have the potential to impact physician decision making,healthcare delivery, and reimbursement policy. Furthermore,recognition of uncertain clinical scenarios facilitates identification of areas that would benefit from future research.
机译：美国心脏病学会基金会（ACCF）与美国超声心动图学会（ASE）以及主要的专业和亚专业学会合作，对经常考虑超声心动图的常见临床情况进行了回顾。本文档结合并更新了2007年发布的原始经胸和食道超声心动图适合性标准（1）和2008年发布的原始应力超声心动图适合性标准（2）。该修订版反映了新的临床数据，反映了测试使用模式的变化，并阐明了超声心动图在原始标准中存在遗漏或不清晰的情况下的使用。适应症（临床情况）源自常见应用或预期用途以及当前临床实践指南和检查原始适当使用标准（AUC）实施情况的研究结果。本文档中的202个适应症由不同的写作小组制定，并由一个独立的独立技术小组以1至9的等级评分，以得出指定适当的使用（中位数7到9），不确定的使用（中位数4到6）和不适当的使用（中位数1到3）。九十七种适应症被评为适当，三十四种被认为是不确定的，七十一种被认为是不适当的。通常，将超声心动图用于临床状况发生改变或预期超声心动图检查结果会改变患者管理的情况下，进行初步诊断是正确的。当临床状况没有变化或检测结果不太可能改变治疗方法时，常规检测比适当/不确定更有可能不合适。超声心动图的AUC有可能影响医师的决策，医疗保健和报销政策。此外，对不确定的临床情况的认识有助于确定将受益于未来研究的领域。

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