Waiting for essential diagnostic tests

November 25, 2002

Increasing attention has focused on waiting lists for diagnostic procedures. A new study in CMAJ has found that only 37% of patients awaiting cardiac catheterization at a regional centre in Ontario underwent their procedure within the requested timeframe.

Madhu Natarajan and colleagues documented mortality and morbidity data for a group of 8030 patients referred for cardiac catheterization and identified predictors of cardiac events that occurred while patients were waiting for the procedure. In addition to finding that so few patients underwent the procedure within the specified time, 109 patients (1.4%) had a major cardiac event while waiting. Fifty patients awaiting catheterization died during the median wait of 27 days.

The authors state their findings represent a benchmark by which the effects of increased capacity and prioritization schemes can be measured. They also suggest developing central booking systems, specifying minimal acceptable criteria for cardiac catheterization, better systems to prioritize and monitor changes in patients' status and specifying maximum waiting times for patients at low risk as potential ways for reducing waiting times for cardiac catheterization.

In a related commentary, Justin Ezekowitz and Paul Armstrong state the need for better risk stratification of both inpatients and outpatients, and for systematic monitoring of the catheterization process, has never been greater.
-end-
p. 1233 The risks of waiting for cardiac catheterization: a prospective study
-- M.K. Natarajan et al
p. 1247 The waiting game: facing the consequences
-- J.A. Ezekowitz, P.W. Armstrong

Canadian Medical Association Journal

Related Cardiac Catheterization Articles from Brightsurf:

In-hospital cardiac arrest in COVID-19
Outcomes of in-hospital cardiac arrest among patients with COVID-19 are examined in this case series.

Cardiac CT can double as osteoporosis test
Cardiac CT exams performed to assess heart health also provide an effective way to screen for osteoporosis, potentially speeding treatment to the previously undiagnosed, according to a new study.

First-of-its-kind-study reveals that eating prior to cardiac catheterization is non-inferior to fast
Patients undergoing cardiac catheterization are traditionally instructed to follow nothing by mouth, or nil per os (NPO), as there are no current standardized fasting protocols.

Intermittent fasting increases longevity in cardiac catheterization patients
In a new study by researchers at the Intermountain Healthcare Heart Institute in Salt Lake City, researchers have found that cardiac catheterization patients who practiced regular intermittent fasting lived longer than patients who don't.

Opioid-related cardiac arrest patients differ from other cardiac arrests
People who suffer cardiac arrest due to an opioid overdose are younger, have fewer chronic medical conditions and may be more likely to be to receive bystander CPR, according to a review of emergency response records in Maine.

Studying drivers behind cardiac arrhythmias
Despite advances in medical imaging, the mechanisms leading to the irregular contractions of the heart during rhythm disorders remain poorly understood.

Kaiser Permanente reduces secondary cardiac events through virtual cardiac rehabilitation program
Kaiser Permanente has demonstrated promising results in reducing secondary cardiac events and rehospitalizations by creating a virtual cardiac rehabilitation program that fits seamlessly into patients' lives.

Cardiac rehabilitation: Preliminary results
In the current issue of Cardiovascular Innovations and Applications volume 4, issue 2, pp.

SCAI and ACVP release consensus statement on cardiovascular catheterization laboratory economics
A newly released expert consensus statement provides recommendations for optimizing the financial operations of the cardiovascular catheterization laboratory (CCL) while providing cutting-edge patient care.

Home-based cardiac rehabilitation is an option to overcome barriers of traditional cardiac rehabilitation
Home-based cardiac rehabilitation may be an option for many who would benefit from cardiac rehabilitation after a heart attack or other heart procedure but can't attend medical center-based programs.

Read More: Cardiac Catheterization News and Cardiac Catheterization Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.