您所在的位置:首頁(yè) > 心血管內(nèi)科診療指南 > 2012年冠狀動(dòng)脈血運(yùn)重建術(shù)應(yīng)用標(biāo)準(zhǔn)
《2012年冠狀動(dòng)脈血運(yùn)重建術(shù)應(yīng)用標(biāo)準(zhǔn)》內(nèi)容預(yù)覽:
This report is a focused update of the AUC for coronaryrevascularization published in 2009 (1). The increasingprevalence of coronary artery disease (CAD), continuedadvances in surgical and percutaneous techniques for revas-cularization and concomitant medical therapy for CAD,and the costs of revascularization have resulted in height-ened interest regarding the appropriate use of coronaryrevascularization. Clinicians, payers, and patients are inter-ested in the specific benefits of revascularization. Inappro-priate revascularization may be harmful to patients andgenerate unwarranted costs to the healthcare system,whereas appropriate revascularization procedures can im-prove patients’ clinical outcomes.
As in the original AUC document, the same classificationscheme with ratings of appropriate, uncertain, and inappro-priate was used. The uncertain category can cause confusionin the interpretation of the AUC and can imply severalmeanings within its definition. First, the rating of uncertainis used when pertinent literature is either not available orwhen true discrepancies exist. Second, it is impossible toinclude every relevant piece of clinical ***rmation (e.g., age,sex, diabetes) in the individual clinical scenarios. Attempt-ing to do that may result in an unmanageable number ofclinical scenarios and thus compromise the usefulness of theAUC in daily practice. The practice of medicine is full ofuncertainties that require a thoughtful clinician to use his orher best judgment about each patient to reach decisionsabout management. Therefore, a rating of uncertain may beassigned by members of the technical panel if clinical***rmation not provided might affect their individualrating, causing a shift into either the appropriate or inap-propriate category.
A rating of uncertain means simply what the nameimplies, and depending on additional factors, it can beappropriate or inappropriate to perform revascularization.The writing group emphasizes that uncertain indications arenot inappropriate. Rather, they reflect clinical scenarios thatare reasonable for performing revascularization, but addi-tional clinical factors should be considered or further re-search is needed to more definitively define the benefits oftreatment for patients.
點(diǎn)擊下載***:《2012年冠狀動(dòng)脈血運(yùn)重建術(shù)應(yīng)用標(biāo)準(zhǔn)》
嚴(yán)重顱腦損傷病人多存在神志異常、昏迷、躁動(dòng)等,使之不能正常飲食,并給鼻飼置...[詳細(xì)]
鑒于顱腦損傷后病人的特點(diǎn),胃腸外營(yíng)養(yǎng)常被選作早期營(yíng)養(yǎng)支持的手段。[詳細(xì)]
意見反饋 關(guān)于我們 隱私保護(hù) 版權(quán)聲明 友情鏈接 聯(lián)系我們
Copyright 2002-2024 Iiyi.Com All Rights Reserved