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Impact of basic transthoracic echocardiography at district hospital level
Includes bibliographical references
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| Main Author: | |
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Department of Public Health and Family Medicine
2016
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| _version_ | 1867613244632334336 |
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| access_status_str | Open Access |
| author | Bedeker, Wiaan Francois |
| author2 | Cupido, Cinda |
| author_browse | Bedeker, Wiaan Francois Cupido, Cinda |
| author_facet | Cupido, Cinda Bedeker, Wiaan Francois |
| author_sort | Bedeker, Wiaan Francois |
| collection | Thesis |
| description | Includes bibliographical references |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/16935 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:04.194Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | Department of Public Health and Family Medicine |
| publisherStr | Department of Public Health and Family Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/16935 Impact of basic transthoracic echocardiography at district hospital level Bedeker, Wiaan Francois Cupido, Cinda Hellenberg, Derek Family Medicine Includes bibliographical references The use and demand of echocardiography has increased worldwide. In developed countries, this has not been translated into improved access outside tertiary centres. Previous studies have favoured the appropriate use of echocardiography over its clinical impact, limiting generalisability to resource constrained settings. Objectives: To assess the impact of an echocardiographic service at district hospital level in Cape Town, South Africa. Methods: A prospective, cross-sectional study was performed. A total of 210consecutive patients, referred to the echocardiography clinic over a five-month period, were recruited. Transthoracic echocardiography was evaluated by its indication, new information provided, correlation with referring doctor's diagnosis and subsequent management plan. Impact included the escalation and de-escalation in treatment, as well as usefulness without a change in management. Results: The results show that 84% of the patients' management was impacted by echocardiography. Valvular lesions were the main indication. The most frequent contribution was information provided towards the diagnosis of heart failure and assessment post-myocardial infarction. Fifty-six per cent of the echocardiograms confirming the referring doctor's diagnosis still had a significant impact. The rational prescription of medication had the major impetus, followed by de-escalation of therapy and screening patients for referral to tertiary facilities. Conclusion: Echocardiography has a positive impact on patient management outside tertiary settings, where the definition of impact appears to be different. The value of a normal study, screening prior to upstream referral and usefulness irrespective of change has been established. This should alert policy makers towards the risk of restricted access and promote training. 2016-02-09T12:18:16Z 2016-02-09T12:18:16Z 2015 Master Thesis Masters MMed http://hdl.handle.net/11427/16935 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town |
| spellingShingle | Family Medicine Bedeker, Wiaan Francois Impact of basic transthoracic echocardiography at district hospital level |
| thesis_degree_str | Master's |
| title | Impact of basic transthoracic echocardiography at district hospital level |
| title_full | Impact of basic transthoracic echocardiography at district hospital level |
| title_fullStr | Impact of basic transthoracic echocardiography at district hospital level |
| title_full_unstemmed | Impact of basic transthoracic echocardiography at district hospital level |
| title_short | Impact of basic transthoracic echocardiography at district hospital level |
| title_sort | impact of basic transthoracic echocardiography at district hospital level |
| topic | Family Medicine |
| url | http://hdl.handle.net/11427/16935 |
| work_keys_str_mv | AT bedekerwiaanfrancois impactofbasictransthoracicechocardiographyatdistricthospitallevel |