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急性冠状动脉综合征患者中指南的实施和预后受到医师对患者前期体格和认知状态的认识的影响

The implementation of guidelines and prognosis among patients with acute coronary syndromes is influenced by physicians' perception of antecedent physical and cognitive status
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摘要 背景/目的:医师对患者前期体格/认知状态的认识也许是急性冠状动脉综合征(ACS)指南实施欠佳的原因。方法:在涉及所有心脏病病房的一项ACS调查中,前瞻性记录了医师对患者前期体格/认知状态的认识,并以正常、轻度受损或显著受损分类。 Background/Aims: Physicians perception of antecedent physical/cognitive status may account for the suboptimal implementation of acute coronary syndrome(ACS) guidelines. Methods: In an ACS survey of all cardiac wards,physicians perception of antecedent physical/cognitive status was prospectively recorded and categorized as either normal,mildly impaired or significantly impaired. We examined the impact of antecedent status on the use of evidence-based medications and procedures and on mortality. Results: Of...
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