The effectiveness of an educational intervention in the appropriate use of pediatric echocardiography

Joint Authors

Kalis, Neale Nicola
al-Amir, Suad Rashid
al-Majid, Muhammad Ramzi
al-Iqab, Faysal Wahid

Source

Bahrain Medical Bulletin

Issue

Vol. 41, Issue 4 (31 Dec. 2019), pp.218-221, 4 p.

Publisher

King Hamad University Hospital

Publication Date

2019-12-31

Country of Publication

Bahrain

No. of Pages

4

Main Topic

Medicine

Topics

Abstract EN

Background: Congenital heart defects (CHD) include most congenital malformations.

Despite the constant prevalence of CHD, inappropriate echocardiography requests pose a healthcare burden.

Objective: To evaluate the effectiveness of an educational intervention of the use of pediatric echocardiography as a primary diagnostic tool.

Design: A Prospective Clinical Study.

Setting: Bahrain Defence Force Hospital, Bahrain.

Method: The study was performed from October 2012 to January 2018.

Pediatric echocardiography requests over 1,170 consecutive days were documented.

Initial analysis was performed followed by an application of Appropriate Use Criteria (AUC) and subsequent reanalysis.

Follow-up echocardiography were excluded.

New cases echocardiograms were classified as having normal or abnormal findings.

Abnormal findings were classified as required or not required intervention.

Result: One thousand six hundred forty-eight (55.3%) echocardiography tests were performed before the educational intervention and 1,329 (44.5%) were performed after.

The follow-up cases were excluded.

Two hundred twenty-eight had (15%) abnormal findings in the initial analysis compared to 138 (11.1%) in the reanalysis (OR: 0.71; 95% CI: 0.56 to 0.89).

Abnormal findings requiring intervention were common after education (3.4% versus 7.8%.

OR: 2.1; 95% CI: 1.3 to 3.5).

Conclusion: The implementation of an AUC intervention decreased the diagnostic yield of echocardiography but increased the yield of cases that required intervention.

American Psychological Association (APA)

al-Majid, Muhammad Ramzi& al-Iqab, Faysal Wahid& al-Amir, Suad Rashid& Kalis, Neale Nicola. 2019. The effectiveness of an educational intervention in the appropriate use of pediatric echocardiography. Bahrain Medical Bulletin،Vol. 41, no. 4, pp.218-221.
https://search.emarefa.net/detail/BIM-910502

Modern Language Association (MLA)

al-Majid, Muhammad Ramzi…[et al.]. The effectiveness of an educational intervention in the appropriate use of pediatric echocardiography. Bahrain Medical Bulletin Vol. 41, no. 4 (Dec. 2019), pp.218-221.
https://search.emarefa.net/detail/BIM-910502

American Medical Association (AMA)

al-Majid, Muhammad Ramzi& al-Iqab, Faysal Wahid& al-Amir, Suad Rashid& Kalis, Neale Nicola. The effectiveness of an educational intervention in the appropriate use of pediatric echocardiography. Bahrain Medical Bulletin. 2019. Vol. 41, no. 4, pp.218-221.
https://search.emarefa.net/detail/BIM-910502

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 221

Record ID

BIM-910502