TY - T1的标准化报告需要描述结果的颈动脉成像(P01.032) JF -神经学乔-神经病学SP - P01.032 LP - P01.032六世- 78 - 1补充非盟-埃里克陈盟Salomeh Keyhani 首页AU -苏珊探讨盟琳达·威廉姆斯盟黎明Bravata Y1 - 2012/04/23 UR - //www.ez-admanager.com/content/78/1_Supplement/P01.032.abstract N2 -目的:确定颈动脉成像中描述结果报告符合推荐的指南。Background Landmark trials have determined the risk of stroke among persons with symptomatic carotid stenosis >70%, 50-69%, and <50%. Reports that use these categories will facilitate decision-making.Design/Methods: Carotid artery imaging results were obtained as part of a chart review of 3987 veterans hospitalized with ischemic stroke at 127 Veterans Administration hospitals in 2007. Abstractors recorded the results of carotid ultrasound, MRA, CTA, or catheter angiography performed in the 12 months prior to admission to six months after admission. We excluded reports with results of no stenosis, mild stenosis, exact degree of stenosis <50%, or any range of stenosis <50% to focus on reports that would inform decisions about carotid revascularization. The unit of analysis was the carotid artery. We described how often the results were presented as an exact degree (such as 60%), as a range (such as 50 to 69%), or as a descriptive category (such as moderate stenosis). For results described as a range, we examined how often it matched those used in landmark trials.Results: Of 6527 results of carotid artery imaging, there were 1315 results (849 ultrasound, 321 MRA, 112, CTA, and 33 catheter angiography) of greater than 50% or at least moderate stenosis. Among clinically significant ultrasound results, only 25% were reported as a range, and 68% were reported as an exact degree. Of the 217 clinically significant ultrasound or MRA reulsts that used a range to describe the stenosis, only 53 used a 50-69% or >70% range.Conclusions: In this national healthcare system, clinically significant carotid artery stenosis was rarely reported in a way that conformed to guidelines. Clinicians who order these diagnostic tests and clinicians who interpret these diagnostic tests should collaborate to produce standardized reports that will facilitate decision-making.Supported by: Veterans Health Administration.Disclosure: Dr. Cheng has nothing to disclose. Dr. Keyhani has nothing to disclose. Dr. Ofner has nothing to disclose. Dr. Williams has nothing to disclose. Dr. Bravata has nothing to disclose.Monday, April 23 2012, 14:00 pm-18:30 pm ER -