{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T04:10:47Z","timestamp":1695528647791},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,12,23]],"date-time":"2015-12-23T00:00:00Z","timestamp":1450828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to test the feasibility and value of a real\u2010time online appropriate use criteria (AUC) application for percutaneous coronary intervention (PCI) in patients without acute coronary syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>High rates of non\u2010appropriate elective PCI in the National Cardiovascular Data Registry (NCDR) CathPCI Registry have created interest in integrating decision support tools into routine clinical care to improve the frequency of appropriate PCIs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients undergoing diagnostic coronary angiography and subsequent PCI for non\u2010ACS indications at a single center were scored using a real\u2010time AUC application pre\u2010procedure. Blinded angiographic review was performed subsequently for each case. Rates of appropriate, inappropriate, uncertain and not rated PCIs were tabulated according to specific clinical scenarios using information available both before and after the angiographic audit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 308 PCIs in 272 patients, 196 (63.6%) were deemed appropriate, 79 (25.6%) uncertain, and two (0.6%) inappropriate; 31 (10.1%) scenarios could not be rated. With angiographic audit, inappropriate PCIs increased to 9.7%. There was a significant improvement in the rate of appropriate PCI using the real\u2010time AUC application compared with retrospective data collection for NCDR reporting (64% vs. 53%, <jats:italic>P<\/jats:italic>\u2009=\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Use of a real\u2010time AUC application together with angiographic audit may improve the accuracy of reporting PCI appropriateness. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26350","type":"journal-article","created":{"date-parts":[[2015,12,23]],"date-time":"2015-12-23T13:40:56Z","timestamp":1450878056000},"source":"Crossref","is-referenced-by-count":2,"title":["Utility of a real\u2010time appropriate use criteria decision support application for percutaneous coronary interventions in non\u2010acute coronary syndrome"],"prefix":"10.1002","volume":"88","author":[{"given":"Stuart H.","family":"Chen","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachuetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalon K.L.","family":"Ho","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachuetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen A.","family":"Gannon","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachuetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Braghadheeswar","family":"Thyagarajan","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachuetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjan K.","family":"Chakrabarti","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachuetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian J.","family":"Potter","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachuetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand","family":"Singla","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachuetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan J.","family":"Piccirillo","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachuetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher U.","family":"Meduri","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachuetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald E.","family":"Cutlip","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School Boston Massachuetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,12,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.10.005"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01372-9"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.916"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.06.056"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.07.044"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.01.050"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.12.004"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2014.06.005"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.12.052"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2011.135"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.3904"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.001952"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.03.003"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.12.001"}],"container-title":["Catheterization 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