Unplanned Repeat Echocardiography with Sedation in Children: Patient Risk Factors

Kenan W D Stern, Chen Chen, Hillel W. Cohen, Joseph Mahgerefteh, Sarah A. Chambers, Leo Lopez

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Patient selection criteria for echocardiography with sedation in children are not well defined. We attempted to identify predictors of unplanned repeat echocardiography with sedation. This was a single-center, case–control study of echocardiograms performed in children aged 1–36 months. Cases underwent unplanned repeat examinations with sedation, while controls did not. Patient variables and study indications were compared. Logistic regression identified the most significant predictors. Cases (n = 104, median time to repeat echocardiogram 17 days, median age 12.9 months) were older than controls (n = 212, median age 5.0 months, P <0.001). Significantly more cases than controls had structural cardiac disease (64 vs. 23 %) and anatomic complexity ≥moderate (38 vs. 5 %, P <0.001 for both). Cases more often had Kawasaki disease (11 vs. 2 %), and controls more often had murmur (56 vs. 11 %, P <0.001 for both). Logistic regression identified age 6 months to

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalPediatric Cardiology
DOIs
StateAccepted/In press - Apr 18 2016

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Patient Selection
Echocardiography
Logistic Models
Mucocutaneous Lymph Node Syndrome
Heart Diseases

Keywords

  • Diagnostic error
  • Echocardiography
  • Pediatric and congenital heart disease
  • Procedural sedation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

Unplanned Repeat Echocardiography with Sedation in Children : Patient Risk Factors. / Stern, Kenan W D; Chen, Chen; Cohen, Hillel W.; Mahgerefteh, Joseph; Chambers, Sarah A.; Lopez, Leo.

In: Pediatric Cardiology, 18.04.2016, p. 1-7.

Research output: Contribution to journalArticle

Stern, Kenan W D ; Chen, Chen ; Cohen, Hillel W. ; Mahgerefteh, Joseph ; Chambers, Sarah A. ; Lopez, Leo. / Unplanned Repeat Echocardiography with Sedation in Children : Patient Risk Factors. In: Pediatric Cardiology. 2016 ; pp. 1-7.
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