Cargando…
Indications for carotid Doppler ultrasound in asymptomatic patients - are we ordering it correctly?
BACKGROUND: Carotid arteries are frequently the site of pathologies, the most common being atherosclerosis, which may result in the formation of plaques, causing stenosis. Doppler ultrasound is currently the exam of choice for assessment of the carotid arteries in asymptomatic patients to screen for...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421587/ https://www.ncbi.nlm.nih.gov/pubmed/37576728 http://dx.doi.org/10.1590/1677-5449.202200841 |
_version_ | 1785089015403249664 |
---|---|
author | da Silva, Alcides Alves Moro, André Brusamolin Toregeani, Jeferson Freitas |
author_facet | da Silva, Alcides Alves Moro, André Brusamolin Toregeani, Jeferson Freitas |
author_sort | da Silva, Alcides Alves |
collection | PubMed |
description | BACKGROUND: Carotid arteries are frequently the site of pathologies, the most common being atherosclerosis, which may result in the formation of plaques, causing stenosis. Doppler ultrasound is currently the exam of choice for assessment of the carotid arteries in asymptomatic patients to screen for and diagnose vascular lesions. Current guidelines recommend screening patients who have risk factors for carotid stenosis and who are able and willing to undergo medical treatment and/or carotid intervention. Screening asymptomatic patients in the general adult population who have no significant risk factors is not recommended. OBJECTIVES: To assess whether medical experts rely on the literature to request Doppler ultrasound for screening. METHODS: A retrospective selection of patients was performed based on requests for carotid ultrasound. The data collected were computed and analyzed using RStudio version 1.3.959. RESULTS: The request was evaluated as appropriate as long as the patients presented at least one risk factor for carotid plaques. Fifty-five out of 152 patients met criteria for carotid screening. The most frequent indication in the study population was vascular check-up. Arterial hypertension was the most prevalent risk factor. Vascular surgery specialists were more likely to order the exam correctly (odds ratio for correct indications: 3.52 [CI 1.14 - 10.87], with p=0.02). The rate of correct Doppler ultrasound requests was 36% (95%CI 29 to 42%). CONCLUSIONS: An excess of requests for carotid ultrasound screening was found in this study. Vascular surgeons more often requested the test correctly. |
format | Online Article Text |
id | pubmed-10421587 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
record_format | MEDLINE/PubMed |
spelling | pubmed-104215872023-08-12 Indications for carotid Doppler ultrasound in asymptomatic patients - are we ordering it correctly? da Silva, Alcides Alves Moro, André Brusamolin Toregeani, Jeferson Freitas J Vasc Bras Original Article BACKGROUND: Carotid arteries are frequently the site of pathologies, the most common being atherosclerosis, which may result in the formation of plaques, causing stenosis. Doppler ultrasound is currently the exam of choice for assessment of the carotid arteries in asymptomatic patients to screen for and diagnose vascular lesions. Current guidelines recommend screening patients who have risk factors for carotid stenosis and who are able and willing to undergo medical treatment and/or carotid intervention. Screening asymptomatic patients in the general adult population who have no significant risk factors is not recommended. OBJECTIVES: To assess whether medical experts rely on the literature to request Doppler ultrasound for screening. METHODS: A retrospective selection of patients was performed based on requests for carotid ultrasound. The data collected were computed and analyzed using RStudio version 1.3.959. RESULTS: The request was evaluated as appropriate as long as the patients presented at least one risk factor for carotid plaques. Fifty-five out of 152 patients met criteria for carotid screening. The most frequent indication in the study population was vascular check-up. Arterial hypertension was the most prevalent risk factor. Vascular surgery specialists were more likely to order the exam correctly (odds ratio for correct indications: 3.52 [CI 1.14 - 10.87], with p=0.02). The rate of correct Doppler ultrasound requests was 36% (95%CI 29 to 42%). CONCLUSIONS: An excess of requests for carotid ultrasound screening was found in this study. Vascular surgeons more often requested the test correctly. Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2023-08-07 /pmc/articles/PMC10421587/ /pubmed/37576728 http://dx.doi.org/10.1590/1677-5449.202200841 Text en Copyright© 2023 The authors. https://creativecommons.org/licenses/by/4.0/Copyright© 2023 The authors. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article da Silva, Alcides Alves Moro, André Brusamolin Toregeani, Jeferson Freitas Indications for carotid Doppler ultrasound in asymptomatic patients - are we ordering it correctly? |
title | Indications for carotid Doppler ultrasound in asymptomatic patients - are we ordering it correctly? |
title_full | Indications for carotid Doppler ultrasound in asymptomatic patients - are we ordering it correctly? |
title_fullStr | Indications for carotid Doppler ultrasound in asymptomatic patients - are we ordering it correctly? |
title_full_unstemmed | Indications for carotid Doppler ultrasound in asymptomatic patients - are we ordering it correctly? |
title_short | Indications for carotid Doppler ultrasound in asymptomatic patients - are we ordering it correctly? |
title_sort | indications for carotid doppler ultrasound in asymptomatic patients - are we ordering it correctly? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421587/ https://www.ncbi.nlm.nih.gov/pubmed/37576728 http://dx.doi.org/10.1590/1677-5449.202200841 |
work_keys_str_mv | AT dasilvaalcidesalves indicationsforcarotiddopplerultrasoundinasymptomaticpatientsareweorderingitcorrectly AT moroandrebrusamolin indicationsforcarotiddopplerultrasoundinasymptomaticpatientsareweorderingitcorrectly AT toregeanijefersonfreitas indicationsforcarotiddopplerultrasoundinasymptomaticpatientsareweorderingitcorrectly |