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Waiting for coronary angiography: is there a clinically ordered queue?

H Hemingway, A M Crook, G Feder

    Lancet (London, England)
    |April 18, 2000
    PubMed

    Insights

    A study of over 3000 patients found that pre-procedure urgency scores accurately predicted waiting times and patient outcomes for coronary angiography. This suggests clinical ordering but highlights the need for better queue management to reduce waiting time variations.

    Area of Science:

    • Cardiology
    • Health Services Research

    Background:

    • Coronary angiography waiting lists are often assumed to be non-clinical.
    • A study evaluated over 3000 patients undergoing coronary angiography without formal queue management.

    Discussion:

    • Urgency scores strongly correlated with waiting times, coronary artery disease prevalence, revascularization rates, and mortality.
    • This challenges the assumption of non-clinical ordering in these waiting lists.

    Key Insights:

    • A priori urgency scores are clinically relevant in managing coronary angiography queues.
    • Significant variations in waiting times persist within urgency categories, indicating room for improvement.

    Outlook:

    • Further optimization of clinical queueing systems is necessary.
    • Implementing improved queue management could enhance patient care and resource allocation in cardiology.

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