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Table 2 Appropriateness per site and specialty

From: Assessment of inpatient multimodal cardiac imaging appropriateness at large academic medical centers

Modality

Category

Site 1

Site 2

Site 3

P value

GIM

Cardiology

P value

TTE

Appropriate % (n)

87 (98)

92 (142)

91 (89)

0.32

88 (185)

93 (144)

0.18

 

May be appropriate % (n)

4 (5)

1 (2)

4 (4)

0.26

4 (9)

1 (2)

0.18

 

Rarely appropriate % (n)

9 (10)

6 (10)

5 (5)

0.55

8 (16)

6 (9)

0.64

TEE

Appropriate % (n)

100 (12)

100 (14)

100 (3)

N/A

100 (12)

100 (17)

N/A

 

May be appropriate % (n)

0

0

0

N/A

0

0

N/A

 

Rarely appropriate % (n)

0

0

0

N/A

0

0

N/A

SPECT

Appropriate % (n)

100 (1)

86 (12)

97 (30)

0.37

91 (30)

100 (13)

0.65

 

May be appropriate % (n)

0

14 (2)

3 (1)

N/A

9 (3)

0

N/A

 

Rarely appropriate % (n)

0

0

0

N/A

0

0

N/A

Diagnostic Catheterization

Appropriate % (n)

94 (15)

88 (57)

97 (30)

0.95

82 (18)

93 (84)

<0.01

May be appropriate % (n)

6 (1)

12 (8)

3 (1)

0.31

18 (4)

7 (6)

0.2

 

Rarely appropriate % (n)

0

0

0

N/A

0

0

N/A

Combined imaging

Appropriate % (n)

89 (126)

91 (225)

93 (152)

0.38

88 (245)

94 (258)

0.03

 

May be appropriate % (n)

4 (6)

5 (12)

4 (6)

0.85

6 (16)

3 (8)

0.15

 

Rarely appropriate % (n)

7 (10)

4 (10)

3 (5)

0.2

6 (16)

3 (9)

0.23

  1. Table demonstrating the percentage of cardiac investigations in each appropriateness category (based on ACCF Appropriate Use Criteria) per site and between the General Internal Medicine (GIM) and Cardiology services. P values for differences in appropriate ordering between sites and between GIM and Cardiology are shown. TTE transthoracic echocardiography, TEE transesophageal echocardiography, SPECT single-photon emission tomography myocardial perfusion imaging