Impact of Physician Cumulative Workload on the Diagnostic Results of the Head-up Tilt Test for Vasovagal Syncope
10.3969/j.issn.1000-3614.2024.11.008
- VernacularTitle:直立倾斜试验操作医师累计工作量对血管迷走性晕厥诊断结果的影响性分析
- Author:
Xiaosheng CHEN
1
,
2
;
Jia HE
;
Yandong SU
;
Haitao YANG
;
Xiaohan FAN
Author Information
1. 郑州大学附属胸科医院 河南省胸科医院 心血管内科,郑州 450003
2. 郑州大学华中阜外医院 阜外华中心血管病医院 河南省 人民医院心脏中心 心血管内科,郑州 451464
- Keywords:
head-up tilt test;
vasovagal syncope;
diagnostic result;
cumulative workload;
retrospective study
- From:
Chinese Circulation Journal
2024;39(11):1103-1109
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:The purpose of this study is to evaluate the impact of the cumulative workload of HUTT testing physicians on diagnostic outcomes. Methods:This study retrospectively and consecutively included the data of testing physicians and patients who underwent HUTT at Fuwai Hospital,Chinese Academy of Medical Sciences,from January 2016 to December 2022.Based on the cumulative workload of physicians during the period from the initiation of tilt tests at the hospital to the end of the study,the physicians were categorized into low (50-100 sases),moderate (100-350 sases),and high (1000-4000 sases) cumulative workload groups,the cumulatie workload of no physician is 351-999 sases.Additionally,physicians were grouped by sex,educational background,and professional title to analyze differences in diagnostic rates of tilt table test reports within and between these groups. Results:The study included 22 testing physicians and 6122 patients.There were statistically significant differences in the rates of positive,suspicious positive,and negative reports among the 22 physicians (P<0.001).The average suspicious positive report rate in the moderate cumulative workload group was significantly higher than in the low and high cumulative workload groups (3.21％ vs.1.09％ vs.1.62％,P=0.001).The suspicious positive report rate was higher in the female physician group compared to the male physician group (2.25％ vs.1.07％,P=0.017),in the undergraduate physician group compared to the postgraduate physician group (2.46％ vs.1.52％,P=0.013),and in the junior title group compared to the intermediate and senior title groups (3.40％ vs.1.75％ vs.2.53％,P=0.024).Multivariate logistic regression analysis showed that a moderate cumulative workload was an influencing factor for suspicious positive reports,regardless of whether negative or positive was used as the reference (all P<0.05). Conclusions:There are certain differences in the diagnostic report rates of HUTT among different individual physicians.Physicians with a moderate cumulative workload are more likely to issue suspicious positive HUTT diagnostic reports.
