A sinister needle in an enormous haystack: A clinician survey regarding Acute Aortic Syndrome diagnostic practice in United Kingdom Emergency Departments
Acute Aortic Syndrome (AAS) is a life-threatening condition associated with high diagnostic uncertainty. This results in an unacceptable number of missed cases, which contributes to its high mortality. We designed and distributed a survey to Emergency Departments (EDs) across the United Kingdom to...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2022-12-01
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| Series: | Emergency Care Journal |
| Subjects: | |
| Online Access: | https://pagepressjournals.org/index.php/ecj/article/view/10758 |
| _version_ | 1797979810341847040 |
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| author | Rachel McLatchie Aakash Gupta Sarah Wilson Matthew J. Reed Aortic Dissection Diagnosis in ED Research Group |
| author_facet | Rachel McLatchie Aakash Gupta Sarah Wilson Matthew J. Reed Aortic Dissection Diagnosis in ED Research Group |
| author_sort | Rachel McLatchie |
| collection | DOAJ |
| description |
Acute Aortic Syndrome (AAS) is a life-threatening condition associated with high diagnostic uncertainty. This results in an unacceptable number of missed cases, which contributes to its high mortality. We designed and distributed a survey to Emergency Departments (EDs) across the United Kingdom to establish the standard practice for investigation and diagnosis of AAS across the UK. 56 EDs across the UK responded. The majority of these did not have a formal work-up pathway for AAS. The estimated CT scanning rates and missed cases of AAS were highly variable between departments. This suggests variation in practice and diagnostic uncertainty. Given its time sensitive nature, the need for a more standardised diagnostic pathway for AAS in EDs is evident. This may aid clinicians rule out AAS more safely and reduce the number of missed cases, which would in turn reduce the high morbidity and mortality associated with AAS.
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| first_indexed | 2024-04-11T05:44:33Z |
| format | Article |
| id | doaj.art-78ee79961f86459da709f92c3835b943 |
| institution | Directory Open Access Journal |
| issn | 1826-9826 2282-2054 |
| language | English |
| last_indexed | 2024-04-11T05:44:33Z |
| publishDate | 2022-12-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Emergency Care Journal |
| spelling | doaj.art-78ee79961f86459da709f92c3835b9432022-12-22T04:42:16ZengPAGEPress PublicationsEmergency Care Journal1826-98262282-20542022-12-0118410.4081/ecj.2022.10758A sinister needle in an enormous haystack: A clinician survey regarding Acute Aortic Syndrome diagnostic practice in United Kingdom Emergency DepartmentsRachel McLatchie0Aakash Gupta1Sarah Wilson2Matthew J. Reed3Aortic Dissection Diagnosis in ED Research GroupEmergency Medicine Research Group Edinburgh (EMERGE), Department of Emergency Medicine, Royal Infirmary of Edinburgh, EdinburghEmergency Medicine Research Group Edinburgh (EMERGE), Department of Emergency Medicine, Royal Infirmary of Edinburgh, EdinburghEmergency Department, Wexham Park Hospital, Frimley Health NHS Foundation Trust, SloughEmergency Medicine Research Group Edinburgh (EMERGE), Department of Emergency Medicine, Royal Infirmary of Edinburgh, Edinburgh; Acute Care Group, Usher Institute of Population Health Sciences and Informatics, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh Acute Aortic Syndrome (AAS) is a life-threatening condition associated with high diagnostic uncertainty. This results in an unacceptable number of missed cases, which contributes to its high mortality. We designed and distributed a survey to Emergency Departments (EDs) across the United Kingdom to establish the standard practice for investigation and diagnosis of AAS across the UK. 56 EDs across the UK responded. The majority of these did not have a formal work-up pathway for AAS. The estimated CT scanning rates and missed cases of AAS were highly variable between departments. This suggests variation in practice and diagnostic uncertainty. Given its time sensitive nature, the need for a more standardised diagnostic pathway for AAS in EDs is evident. This may aid clinicians rule out AAS more safely and reduce the number of missed cases, which would in turn reduce the high morbidity and mortality associated with AAS. https://pagepressjournals.org/index.php/ecj/article/view/10758Aortic dissectiondiagnostic accuracyaortaemergencydiagnosis |
| spellingShingle | Rachel McLatchie Aakash Gupta Sarah Wilson Matthew J. Reed Aortic Dissection Diagnosis in ED Research Group A sinister needle in an enormous haystack: A clinician survey regarding Acute Aortic Syndrome diagnostic practice in United Kingdom Emergency Departments Emergency Care Journal Aortic dissection diagnostic accuracy aorta emergency diagnosis |
| title | A sinister needle in an enormous haystack: A clinician survey regarding Acute Aortic Syndrome diagnostic practice in United Kingdom Emergency Departments |
| title_full | A sinister needle in an enormous haystack: A clinician survey regarding Acute Aortic Syndrome diagnostic practice in United Kingdom Emergency Departments |
| title_fullStr | A sinister needle in an enormous haystack: A clinician survey regarding Acute Aortic Syndrome diagnostic practice in United Kingdom Emergency Departments |
| title_full_unstemmed | A sinister needle in an enormous haystack: A clinician survey regarding Acute Aortic Syndrome diagnostic practice in United Kingdom Emergency Departments |
| title_short | A sinister needle in an enormous haystack: A clinician survey regarding Acute Aortic Syndrome diagnostic practice in United Kingdom Emergency Departments |
| title_sort | sinister needle in an enormous haystack a clinician survey regarding acute aortic syndrome diagnostic practice in united kingdom emergency departments |
| topic | Aortic dissection diagnostic accuracy aorta emergency diagnosis |
| url | https://pagepressjournals.org/index.php/ecj/article/view/10758 |
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