The sternal wire code; Solving the problem of missing ... | 寵物協尋網
由DSWald著作·2018·被引用2次—3DulwichCollege,DulwichCommon,LondonSE217LD,UnitedKingdom.PMID:29946562;PMCID:PMC6016071;DOI:10.1016/j.ijcha.2018.04.004 ...
Background: The sternal wire code records details of coronary artery bypass surgery (CABG) inside patients, based on the orientation of wires used for sternal closure. Visible on X-ray, the code overcomes the problem of missing graft-notes needed before repeat angiography. We determined (i) the potential value (ii) acceptability and (iii) accuracy of the code in practice.
Methods: (i) Consecutive coronary angiogram reports (2015-2016 Barts, London) were reviewed to identify patients with previous CABG and those with and without graft-notes before angiography. (ii) UK surgeons were surveyed on whether they would insert the code during CABG. (iii) A clinician, blinded to operative details, interpreted 16 post-CABG X-rays, 8 with the code and 8 without.
Results: (i) Of 6483 angiography patients, 559 had previous CABG (9.2% (8.5-10%)). Graft-notes were missing in 91/559 (15.1% (12-18%)); al...
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The sternal wire code; Solving the problem of missing ... | 寵物協尋網
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