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Original Article

. 2011; 2(2): 123-126


A single-center prospective study analyzing the cardiac referrals made to a tertiary care center in India

Sourabh Aggarwal, Alka Sharma, Vishal Sharma.

Abstract
Background: Healthcare system in most parts of the world fonctions on a three-tier system, involving primary, secondary, and tertiary care centers. The appropriate and efficient referral system plays crucial rôle in maximally efficient healthcare delivery. Materials and Methods: In ail, 46 referrals made to the medicine department of the hospital over a period of 1 month with chief complaint of chest pain and presumptive diagnosis of myocardial ischemia/infarct by outside physicians were selected randomly. Analysis was done both for extent and clarity of useful information provided. Results: Out of 46 referrals, exact indication for referral was mentioned in 4 (8.7%), time of referral in 2 (4.3%), blood pressure in 38 (17.4%), puise rate in 29 (63.04%), respiratory rate in 1 (2.17%), electrocardiograph diagnosis was not mentioned in 12 (26.08%), and the contact number/ détails of referring physician were mentioned in 2 (4.34%). Correct dose of aspirin was given to 27 (58.69%), clopidogrel to 19 (41.30%), statins to 9 (19.45%), angiotensin-converting enzyme inhibitors to 6 (13.04%), beta-blockersto 8 (17.39%), low-molecularweightheparinin6 (13.04%), and22 (47.82%)patients warranted thrombolysis, but was given in 12 (54.54%). Conclusions: There is a serious lack of quality and clarity of important information provided while making referrals.

Key words: acute coronary syndrome, cardiac, referral, tertiary care



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