Adherence to practice guidelines for coronary artery bypass graft surgery in Shiraz, Iran

被引:0
作者
Darvish, Negar [1 ]
Ostovan, Mohammad Ali [2 ]
Askarian, Mehrdad [3 ,4 ]
机构
[1] Shiraz Univ Med Sci, Student Res Comm, Sch Med, Dept Community Med, Shiraz, Iran
[2] Shiraz Univ Med Sci, Sch Med, Dept Cardiol, Shiraz, Iran
[3] Shiraz Univ Med Sci, Anesthesiol & Crit Care Res Ctr, Shiraz, Iran
[4] Shiraz Univ Med Sci, Sch Med, Dept Community Med, Shiraz, Iran
关键词
Adherence; Guidelines; Coronary Artery Bypass Graft; Iran;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND: There is an increasing tendency to use evidence-based medicine (EBM) and guidelines among physicians. This is also true for concordance of coronary artery bypass graft (CABG) surgery and guidelines; therefore, we aimed to address the adherence to 2011 American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) guideline for CABG. METHODS: In this cross-sectional study, we assessed 246 patients who underwent CABG in Shiraz, Iran, during 2011-2012, using a data collecting form provided through studying ACCF/AHA guideline 2011. The patients were categorized into clinical subgroups and then grouped into appropriate, in-appropriate and uncertain classes. Chi-square was used to compare categorical variables and t-test was used for continuous variables. RESULTS: Of the 246 patients, 70.3% were grouped into "class I," 12.6% into "class IIa," 6.9% into "class IIb" and 10.2% into "class III." Therefore, 82.9% of the patients were grouped into " appropriate," 6.9% into "uncertain," and 10.2% into group "inappropriate." CONCLUSION: We suggest that more attention is needed to be paid to these guidelines. Using these guidelines may help surgeons to have a uniform approach for patients.
引用
收藏
页码:370 / 373
页数:4
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