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[Emergency echocardiography in Denmark]

J Friberg1, K H Madsen, F V Steensgaard-Hansen

  • 1Kalundborg Sygehus, medicinsk afdeling.

Ugeskrift for Laeger
|November 6, 1998
PubMed
Summary
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Few Danish medical departments can perform emergency echocardiography 24/7. This critical heart imaging technique is often unavailable outside normal hours, delaying diagnosis and treatment for acute heart failure and dyspnea.

Area of Science:

  • Cardiology
  • Medical Diagnostics
  • Healthcare Management

Background:

  • Echocardiography is vital for diagnosing acute heart failure and dyspnea.
  • Rapid echocardiography is crucial for timely and effective patient treatment.
  • Assessing the availability of emergency echocardiography services is essential for healthcare planning.

Purpose of the Study:

  • To evaluate the capability of Danish medical departments to perform echocardiography outside regular working hours.
  • To identify potential gaps in 24-hour echocardiography services across Denmark.

Main Methods:

  • A nationwide questionnaire survey was distributed to all medical departments in Denmark and the Faroe Islands (excluding cardiology centers).
  • The survey assessed the availability of senior doctors trained in performing echocardiography during non-daytime hours.

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  • A response rate of 94.5% was achieved.

    • Main Results:

    • 30.4% of responding departments reported no senior doctors on duty capable of performing echocardiography.
    • Only 11.6% of departments had over 50% of senior doctors on duty able to perform M-mode/2D echocardiography.
    • The study highlights a significant limitation in acute echocardiography accessibility on a 24-hour basis.

    Conclusions:

    • A small proportion of Danish medical departments possess the capacity for 24-hour acute echocardiography.
    • There is a critical need to improve the availability of emergency echocardiography services to ensure prompt patient care.
    • Healthcare strategies should address the limited accessibility of this essential diagnostic tool.