Recurrent Cardiology Evaluation for Innocent Heart Murmur: Echocardiogram Utilization.

Abstract:

:We conducted a retrospective study to identify electrocardiogram (ECG) and echocardiogram utilization among patients presenting for a follow-up cardiology evaluation with innocent heart murmur between 2012 and 2014. The 2014 echocardiogram Appropriate Use Criteria was applied. We observed high rates of ordering ECGs and echocardiograms on follow-up visits (79% and 36%); only 1 patient had an appropriate indication for echocardiogram while the rest had rarely appropriate indication. Having had an ECG done did not affect echocardiogram ordering behavior. Older patient age was the only factor associated with a higher likelihood for ordering echocardiograms on follow-up visit (odds ratio = 1.016, P = .021). In this small sample study, we noticed high rates of test utilization and low-probability utilization of echocardiogram in the recurrent evaluation of children with innocent heart murmur. A larger, multicenter prospective study to investigate patterns and drivers of test utilization in children with innocent heart murmur presenting for a follow-up cardiology visit is needed.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Dalal NN,Dzelebdzic S,Frank LH,Clauss SB,Mitchell SJ,Aljohani OA,Bradley-Hewitt T,Harahsheh AS

doi

10.1177/0009922818787280

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

1436-1441

issue

12

eissn

0009-9228

issn

1938-2707

journal_volume

57

pub_type

杂志文章
  • Differential diagnosis and treatment of conversion disorder and Guillain-Barre syndrome.

    abstract::Three cases are presented which illustrate the possible difficulties in differentiating between the diagnoses of Guillain-Barre Syndrome and conversion disorder. Accepted criteria are specified for each condition, as well as some associated features often characteristic of similar cases. Supportive interdisciplinary t...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289103001002

    authors: Wherry JN,McMillan SL,Hutchison HT

    更新日期:1991-10-01 00:00:00

  • Hypernatremic dehydration in infants with gastroenteritis.

    abstract::Of 1045 children admitted with gastroenteritis over a 12-month period and studied retrospectively, serum sodium level was tested in 802. Sixty patients (7.5%) had hypernatremic dehydration (HD). The peak incidence of HD, the highest serum sodium levels, and the worst outcome were all encountered in infants under the a...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288402300501

    authors: Khuffash FA,Majeed HA

    更新日期:1984-05-01 00:00:00

  • Legal issues in psychological abuse of children.

    abstract::The pediatrician must observe and assess a variety of emotional disorders in children, many of which seem related to adverse parental attitudes and actions. It is important for the pediatrician to appreciate the judicial system's constraints in defining psychological abuse so that, when appropriate, legal intervention...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288202101003

    authors: Yates A

    更新日期:1982-10-01 00:00:00

  • Proposed guidelines for screening of metabolic and endocrine diseases of dependent neonates of the U.S. Armed Forces. Derived from a survey of state guidelines for neonatal screening of metabolic diseases.

    abstract::State regulations for neonatal screening for metabolic diseases do not optimally serve the needs of the dependents of the U.S. Armed Forces. Guidelines are therefore proposed for the neonatal screening for metabolic disease based both on responses received across the United States and on the unique needs of the U.S. A...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288702600705

    authors: Tiwary CM

    更新日期:1987-07-01 00:00:00

  • Fatal lower respiratory tract infection due to herpes simplex virus in a previously healthy child.

    abstract::A well-nourished, previously healthy, 9-month-old baby died of herpes simplex virus infection of the lower respiratory tract, without apparent dissemination. The herpetic disease followed bacterial pneumonitis for which the patient had had tracheal intubation. ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288402300709

    authors: Sofer S,Pagtakhan RD,Hoogstratten J

    更新日期:1984-07-01 00:00:00

  • Time to stop blaming gastroesophageal reflux.

    abstract::OBJECTIVES. Cough, pain, and desaturation episodes in infants are often ascribed to gastroesophageal reflux, and many are empirically treated with acid suppression medications. The authors hypothesize that most of these symptoms are not related to gastroesophageal reflux. METHODS. Retrospective review of 186 combined ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811412585

    authors: Garza JM,Nylund CM,Kaul A

    更新日期:2011-12-01 00:00:00

  • A simple provider-based educational intervention to boost infant immunization rates: a controlled trial.

    abstract::We sought to determine if a simple educational intervention initiated at the first well-child care visit, with reinforcement at subsequent visits, can improve inner-city infant immunization rates. We conducted a controlled trial involving 315 newborn infants and their primary caregivers in 3 inner-city primary care ce...

    journal_title:Clinical pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1177/000992280104000701

    authors: Stille CJ,Christison-Lagay J,Bernstein BA,Dworkin PH

    更新日期:2001-07-01 00:00:00

  • Isolated low HDL cholesterol emerges as the most common lipid abnormality among obese adolescents.

    abstract::A 12-hour fasting lipid profile was obtained from 88 otherwise healthy obese (BMI > or = 95%) adolescents (age 16 +/- 1 years, BMI 36 +/- 1 kg/m(2), 55 males, 33 females, 57% Hispanic, 23% African American, 19% Caucasian, 1% Asian American). About 56% of the obese adolescents exhibited lipid abnormalities based on cut...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922809341076

    authors: Harel Z,Riggs S,Vaz R,Flanagan P,Harel D

    更新日期:2010-01-01 00:00:00

  • Methodological review of the quality of reach out and read: does it "work"?

    abstract::A considerable percentage of American children and adults fail to learn adequate literacy skills and read below a third grade level. Shared book reading is perhaps the single most important activity to prepare young children for success in reading. The primary objective of this manuscript was to critically review the ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/0009922813507995

    authors: Yeager Pelatti C,Pentimonti JM,Justice LM

    更新日期:2014-04-01 00:00:00

  • Pediatric-Informed Facilitation of Patient-Centered Medical Home Transformation.

    abstract::Patient-centered medical home (PCMH) transformation has been challenging for pediatric practices, in part because of the National Committee for Quality Assurance (NCQA) PCMH focus on conditions and processes specific to adult patients. Realizing the potential challenges faced by pediatric practices, Vermont supported ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922816669788

    authors: Harder VS,Long WE,Varni SE,Samuelson J,Shaw JS

    更新日期:2017-06-01 00:00:00

  • Vietnamese and Cambodian orphans 1975--the first look. The initial medical screening and treatment at Clark Air Force Base.

    abstract::In April of 1975, the United States government evacuated approximately 2,000 orphans from Vietnam and Cambodia. More than 1,500 orphans received initial medical evaluation and treatment at Clark Air Force Base, Republic of the Phillipines. The orphans underwent a minimum of 2 physician evaluations and were individuall...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992287701600310

    authors: Swender PT,Sandler AP

    更新日期:1977-03-01 00:00:00

  • Gonococcal infections in young children. Studies on the social, familial, and clinical aspects of 11 instances.

    abstract::Of 43 youngsters with gonorrhea, 11 were under 10 years of age. These 11 had in common atypical clinical presentation, marital disharmony of the parents, crowded living conditions; some had been abused sexually. Management of gonorrhea in such young children may require a concerted effort by a team of medical, social,...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992287701600709

    authors: Low RC,Cho CT,Dudding BA

    更新日期:1977-07-01 00:00:00

  • Parental education on asthma severity in the emergency department and primary care follow-up rates.

    abstract::Asthma is the most prevalent chronic condition affecting children and a common chief complaint in emergency departments (EDs). We aimed to improve parents' understanding of their child's asthma severity on accessing our pediatric ED for an acute asthma exacerbation. A retrospective chart review was conducted to determ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922813479163

    authors: Williams KW,Word C,Streck MR,Titus MO

    更新日期:2013-07-01 00:00:00

  • Long-term outcomes of physician peer teaching.

    abstract::Research conducted in 10 cities assessed long-term pediatric asthma outcomes from a peer teaching intervention for physicians to improve their asthma-related clinical and counseling skills. Hypotheses were better outcomes for patients, symptom reduction, less health care use, and enhanced view of the physician. Peers ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/0009922808319964

    authors: Clark NM,Cabana M,Kaciroti N,Gong M,Sleeman K

    更新日期:2008-11-01 00:00:00

  • Managing referrals for children with receptive language delay.

    abstract::This study investigates relations between language and cognitive scores in children with receptive language (RL) delay and suggests guidelines for referral for cognitive testing. This retrospective review of the test scores of 41 children, ages 17 to 76 months (mean = 37.7 months), focuses on examining associations be...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922808323108

    authors: Fagan MK,Montgomery TR

    更新日期:2009-01-01 00:00:00

  • Multidisciplinary Pediatric Obesity Clinic via Telemedicine Within the Los Angeles Metropolitan Area: Lessons Learned.

    abstract::Telemedicine has been shown to be effective for rural populations, but little is reported on pediatric obesity care via telemedicine in urban settings. This study aims to assess feasibility and acceptability of multidisciplinary pediatric obesity care via telemedicine within the same metropolitan area in terms of info...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922815594359

    authors: Slusser W,Whitley M,Izadpanah N,Kim SL,Ponturo D

    更新日期:2016-03-01 00:00:00

  • Evaluating Partial Series Childhood Vaccination Services in a Mobile Clinic Setting.

    abstract::This study aims to evaluate the cost-benefit of vaccination services, mostly partial series administration, provided by a mobile clinic program (MCP) in Houston for children of transient and low-income families. The study included 469 patients who visited the mobile clinics on regular service days in 2 study periods i...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922820908586

    authors: Chen W,Misra SM,Zhou F,Sahni LC,Boom JA,Messonnier M

    更新日期:2020-06-01 00:00:00

  • Managing a "New" Murmur in Healthy Children and Teens.

    abstract::An asymptomatic child with a murmur can be challenging practice management conundrum. Some providers refer all patients with a "new" murmur to a cardiologist, likely resulting in excessive resource utilization and parental anxiety. This study examines whether the prevalence of significant cardiac pathology differs in ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922816656623

    authors: Gupta LJ,May JW

    更新日期:2017-04-01 00:00:00

  • Changes in ET-1, Plasma Neuropeptide Y, and CGRP in Child Patients With Congenital Heart Disease Complicated With Pulmonary Hypertension Before and After Operation.

    abstract::This study aims to explore the changes in endothelin-1 (ET-1), plasma neuropeptide Y, and calcitonin gene-related peptide (CGRP) in child patients before and after operation. A total of 80 child patients with congenital heart disease (CHD) complicated with pulmonary hypertension (PH) were enrolled and divided into con...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922820948261

    authors: Liu Z,Zhang M,Huo Q,Zhu T

    更新日期:2021-01-01 00:00:00

  • Preschool vision screening in pediatric practices.

    abstract::A national sample of pediatricians was surveyed to evaluate preschool vision screening practices (response rate 55%, 377 of 690 eligible respondents). The rate of acuity screening for 3-year-old children was low (35%), but increased for 4- (73%) and 5-year-old children (66%). Few used photoscreening or autorefraction ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280604500309

    authors: Kemper AR,Clark SJ

    更新日期:2006-04-01 00:00:00

  • Management of an apparent life-threatening event: a survey of emergency physicians practice.

    abstract:OBJECTIVE:The etiology of an apparent life-threatening event (ALTE) has been attributed to a wide range of causes. Physicians rely on caregiver narratives, which are often unreliable given the distressing nature of the event, which in turn leads to variation in the evaluation and management. The objective of this study...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811419495

    authors: Kundra M,Duffy E,Thomas R,Mahajan PV

    更新日期:2012-02-01 00:00:00

  • Asthma Medication Prescribing Practices in Pediatric Office Visits.

    abstract::This cross-sectional study examined how asthma control, demographic, and clinical characteristics are associated with the use of asthma medications in pediatric office visits in the United States. Data from the 2012-2015 National Ambulatory Medical Care Survey included patients aged 6 to 17 years, with asthma as a pri...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818822980

    authors: Rege S,Kavati A,Ortiz B,Mosnaim G,Cabana MD,Murphy K,Aparasu RR

    更新日期:2019-04-01 00:00:00

  • Valproic acid and congenital malformations. A case report.

    abstract::An infant exposed in utero to valproic acid was born with multiple congenital malformations, including duodenal atresia, lumbar vertebral fusion, thoracolumbar scoliosis, renal abnormalities, diastasis recti abdominis, depigmentation of the eyebrows, and a large hemangioma. The child had neonatal hyperbilirubinemia an...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288402300611

    authors: Bantz EW

    更新日期:1984-06-01 00:00:00

  • The extent and patterns of multiple chronic conditions in low-income children.

    abstract:BACKGROUND AND OBJECTIVES:Little is known about the magnitude of multiple chronic conditions (MCC) in children. This study describes the prevalence of and patterns of comorbidities in children receiving Medicaid assistance. METHODS:Diagnoses from 5 years of Medicaid claims data were reviewed and identified 128,044 chi...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922815574073

    authors: Clark NM,Lachance L,Benedict MB,Little R,Leo H,Awad DF,Wilkin MK

    更新日期:2015-04-01 00:00:00

  • Predictors of Complications of Tonsillectomy With or Without Adenoidectomy in Hospitalized Children and Adolescents in the United States, 2001-2010: A Population-Based Study.

    abstract::Outcomes of tonsillectomy (with or without adenoidectomy [w/woA]) in hospitalized children are unclear. We sought, to describe the characteristics of hospitalized children who underwent tonsillectomy (w/woA), to estimate the prevalence of complications and to evaluate the relative impact of different comorbid conditio...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922815616885

    authors: Allareddy V,Martinez-Schlurmann N,Rampa S,Nalliah RP,Lidsky KB,Allareddy V,Rotta AT

    更新日期:2016-06-01 00:00:00

  • A comparison of perceptions of fever and fever phobia by ethnicity.

    abstract:BACKGROUND:The purpose of our study was to compare caregiver perceptions of fever between ethnicities in a population with a large percentage of Hispanics. METHODS:A 20-item, cross-sectional survey was collected from English- and Spanish-speaking parents of children. Questions addressed level of parental worry, parent...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922809336208

    authors: Rupe A,Ahlers-Schmidt CR,Wittler R

    更新日期:2010-02-01 00:00:00

  • C-Reactive Protein and Ferritin Are Associated With Organ Dysfunction and Mortality in Hospitalized Children.

    abstract::Our objective was to determine if C-reactive protein (CRP) and ferritin values alone and in combination are associated with mortality among hospitalized children. All hospitalized patients at our institution with a CRP or ferritin assay in 2015 and 2016 were included. Area under the receiver operating curves (AUROC) w...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922819837352

    authors: Horvat CM,Bell J,Kantawala S,Au AK,Clark RSB,Carcillo JA

    更新日期:2019-06-01 00:00:00

  • Reinforcement of incontinent stools in the treatment of encopresis.

    abstract::In this paper, fecal incontinence and constipation were treated in two mentally retarded individuals using a novel intervention wherein incontinent stools were first rewarded in order to increase the frequency of bowel movements. This intervention was implemented only after more traditional pediatric and behavioral tr...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289103000105

    authors: Piazza CC,Fisher W,Chinn S,Bowman L

    更新日期:1991-01-01 00:00:00

  • Review of medical reports on pedophilia.

    abstract::The present report is a review of all 554 papers published on Medline on pedophilia. The first discussion is the history of the disorder from ancient Greece to the present time, especially the influence of the liberal country of the Netherlands, the North American Man-Boy Love Association, and the sexual crisis in the...

    journal_title:Clinical pediatrics

    pub_type: 历史文章,杂志文章,评审

    doi:10.1177/0009922807301483

    authors: Hughes JR

    更新日期:2007-10-01 00:00:00

  • Assessing the effect of docosahexaenoic acid on cognitive functions in healthy, preschool children: a randomized, placebo-controlled, double-blind study.

    abstract::The utility of multicenter cognitive test methodology and resultant outcomes of supplementation with docosahexaenoic acid in healthy 4-year-old children was evaluated in a randomized, placebo-controlled, double-blind study. Subjects received 400-mg/d docosahexaenoic acid (n = 85) or matching placebo (n = 90) in capsul...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/0009922807311730

    authors: Ryan AS,Nelson EB

    更新日期:2008-05-01 00:00:00