Linked Life Data

11812688

Source:http://linkedlifedata.com/resource/pubmed/id/11812688

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SubjectPredicateObjectContext
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pubmed-article:11812688pubmed:dateCreated2002-1-28lld:pubmed
pubmed-article:11812688pubmed:abstractTextDiagnostic interpretation of intraoperative transesophageal echocardiography (TEE) examinations may vary, particularly when the echocardiographer is also the anesthesiologist. We therefore evaluated the concordance of TEE interpretation as part of a process of continuous quality improvement (CQI). Ten cardiac anesthesiologists participating in a CQI program conducted 154 comprehensive TEE examinations, each consisting of 16 major fields describing cardiac anatomy and function. These examinations were subsequently interpreted off-line by two primary echocardiographers (a radiologist and a cardiologist). Agreement was assessed using the kappa coefficient and percent agreement. Overall kappa and percent agreement were 0.58 and 83% for anesthesiologists versus radiologist, 0.57 and 80% for anesthesiologists versus cardiologist, and 0.60 and 82% for radiologist versus cardiologist. Anesthesiologists with longer than 5 yr of TEE experience had higher levels of agreement with the radiologist when assessing the aorta, right atrium, pulmonary vein flow, transmitral flow, and fractional area change. Cardiac anesthesiologists supported by a CQI program interpret TEE examinations at a level comparable with physicians whose primary practice is echocardiography. Thus, the anesthesiologist and the intraoperative echocardiographer need not be mutually exclusive. IMPLICATIONS: Interpretation of intraoperative transesophageal echocardiograms can be reliably performed by cardiac anesthesiologists.lld:pubmed
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pubmed-article:11812688pubmed:volume94lld:pubmed
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pubmed-article:11812688pubmed:pagination302-9, table of contentslld:pubmed
pubmed-article:11812688pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:11812688pubmed:year2002lld:pubmed
pubmed-article:11812688pubmed:articleTitleTransesophageal echocardiography interpretation: a comparative analysis between cardiac anesthesiologists and primary echocardiographers.lld:pubmed
pubmed-article:11812688pubmed:affiliationDepartment of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA. mathe014@mc.duke.edulld:pubmed
pubmed-article:11812688pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:11812688pubmed:publicationTypeComparative Studylld:pubmed