Search

Your search keyword '"Favaretti C."' showing total 2 results
Start Over Author "Favaretti C." Journal giornale italiano di cardiologia
2 results on '"Favaretti C."'

1. [Coronary angiography in two defined populations: Padua and Citadella]

Author

Bressan, M, Zanchetta, M, Michieletto, F, Pedrocco, A, Zoppo, F, Favaretti, C, Mariotto, A, Pedon, L, Razzolini, Renato, Maiolino, P, and Stritoni, P.

Subjects
Adult, Male, Treatment Outcome, Italy, Myocardial Infarction, Humans, Female, Aortic Valve Stenosis, Middle Aged, Coronary Angiography, Aged, Follow-Up Studies
Abstract

Coronary angiography is an invasive procedure that is relatively expensive and that requires an appropriate indication.Utilization rate and the appropriateness of the use of the coronary angiography have been compared in two defined populations, namely residents from the city of Padua (group A), and subjects from the local health unit of Cittadella (group B), who underwent coronary angiography between June 1, 1992 and May 31, 1993. Appropriateness was evaluated both by comparison with the AHA/ACC guidelines and by observation of the outcome following diagnosis one year after the coronary angiogram was performed.One hundred and seventy-one patients in group A and 100 patients in group B underwent coronary angiography: both groups had similar age and sex distribution. Utilization rate was 8 per 10,000 inhabitants in group A, and 10 per 10,000 inhabitants in group B. Appropriate coronary angiography, evaluated by comparison with the AHA/ACC guidelines, was 69.9% in group A and 68% in group B. Coronary angiogram showed at least one stenosisor = 50% in 133 patients from group A and in 66 patients from group B. These patients were followed up for at least 12 months. Of 13 deaths, 12 occurred as fatal cardiac events, while of the 147 surviving patients who had complete follow-up data, 114 (77%) improved. The outcome was measured through symptoms and stress test. In addition, subjective improvement was measured in group A using the "Nottingham Health Profile".Criteria of appropriateness for an invasive diagnostic procedure such as coronary angiography, which is a determinant "entry point" for revascularization procedures, is based on common clinical knowledge that may be evolving with time. Based on these data, it seems that the current guidelines could be modified, especially for indications within the setting of myocardial infarction.

Published
1998

2. [The distribution and activities of hemodynamic laboratories in Italy: the implications for the quality of services].

Author

Favaretti C, Stritoni P, Mariotto A, Bressan M, and Razzolini R

Subjects
Angioplasty, Balloon, Coronary standards, Angioplasty, Balloon, Coronary statistics & numerical data, Humans, Italy, Laboratories, Hospital standards, Laboratories, Hospital statistics & numerical data, Workforce, Workload statistics & numerical data, Cardiac Catheterization statistics & numerical data, Hemodynamics, Laboratories, Hospital supply & distribution, Quality of Health Care statistics & numerical data
Abstract

Background: The diffusion of cardiac catheterization laboratories in Italy has been increasing in the last decade, often without a rational planning process evaluating costs, safety, concentration and case loads., Methods: Data have been provided by the 1990 annual report of the Italian Group of Hemodynamic Studies and Interventional Cardiology which includes, following the best estimates, about 90% of public and private labs. These data include all cardiac catheterization visits. In analysis, PTCA's have been separately considered., Results: In 1990, 85 laboratories with 101 rooms were active. The distribution of the labs was 58% in the north, 14% in the middle and 28% in the south of the country. The number of labs per million inhabitants was 1.9, 1.1 and 1.2 respectively, with a national average of 1.5. The percentage of labs performing fewer than 300 visits per year was 33% in the country. Within the areas, such percentages were 33%, 17% and 42% respectively. A total of 48,518 exams were performed (61%, 18% and 21% in the three areas) with a rate per 100,000 of 115, 82 and 51 (national rate 86). 5,145 PTCA's were carried out in the same year, about 80% of which were in the north area., Conclusions: Even if data could be underestimated, a great difference in geographical distribution of labs was confirmed. This might be explained by morbidity, population age and mobility of patients across the country. The percentage of labs performing fewer than 300 studies is relevant, in particular in the south and in the Isles. Planning for future requirements should include the amelioration of utilization rates (in a perspective of cost containment and patient safety), a thorough evaluation of demographic and morbidity trends, and an estimate of the proportion of inappropriate procedures.

Published
1994

Catalog

Books, media, physical & digital resources
See catalog results