Parental anxiety related to referral of childhood heart murmur; an observational/interventional study.

Abstract:

BACKGROUND:Detection of a heart murmur in healthy children is common, but may generate anxiety among parents. Many parents believe a heart murmur is a sign of heart disease, although the majority of heart murmurs are innocent. The purpose of this study was to assess anxiety and concerns in parents of children referred for evaluation of a heart murmur and to evaluate the effect of receiving a fact sheet about heart murmurs before the cardiologic consultation. METHODS:Parents of children referred for evaluation of a heart murmur responded to questionnaires assessing family and patient characteristics, parental concerns and anxiety. Anxiety was measured using the State Trait Anxiety Index (STAI) before and two weeks after the consultation. One third of the parents received a fact sheet before the consultation. RESULTS:Two hundred fifty-eight parents of 178 children participated. About 60 % of the parents had an increased level of anxiety before the consultation. The majority of the parents (71 %) had at least one major concern about heart murmurs in children, and having a concern was related to higher anxiety levels (p = 0.02). Anxious personality and lower education predicted an increased anxiety level. Before the consultation, parents who received a fact sheet presented a lower mean STAI state anxiety level (33.2) than those who did not (35.3), but the difference was not significant (p = 0.09). Fewer parents in the intervention group believed their child would have increased risk of heart disease later in life (p = 0.04) or that heart murmurs in children represents valvular-or congenital heart disease (p = 0.02). After the consultation, parental anxiety decreased from a mean STAI state of 34.9 to 30.6 (p < 0.01), and the mean STAI state scores were similar for the control and intervention group. CONCLUSION:Parents with a child referred for a heart murmur presented a higher mean anxiety level than pre-school parents, and having an anxious personality, a major concern or low education predicted an increased anxiety level. After the consultation, parental anxiety decreased. Receiving a fact sheet about heart murmurs did not significantly reduce parental anxiety levels, but had a modest effect on concerns for the consequences of a heart murmur.

journal_name

BMC Pediatr

journal_title

BMC pediatrics

authors

Bårdsen T,Sørbye MH,Trønnes H,Greve G,Berg A

doi

10.1186/s12887-015-0507-4

subject

Has Abstract

pub_date

2015-11-21 00:00:00

pages

193

issn

1471-2431

pii

10.1186/s12887-015-0507-4

journal_volume

15

pub_type

杂志文章
  • Characteristics and risk factors of children with sleep-disordered breathing in Wuxi, China.

    abstract:BACKGROUND:Sleep-disordered breathing (SDB) is a common syndrome in children, related to their immune responses, cardiovascular function, and neurocognitive function. This study aimed to determine the prevalence of SDB among children in Wuxi, China, and to evaluate the protective and risk factors of SDB in children. M...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-020-02207-5

    authors: Guo Y,Pan Z,Gao F,Wang Q,Pan S,Xu S,Hui Y,Li L,Qian J

    更新日期:2020-06-26 00:00:00

  • Psychometric properties and parental reported utility of the 19-item 'About My Child' (AMC-19) measure.

    abstract:BACKGROUND:'About My Child' 19-item version (AMC-19) is a parent-report measure developed to assess the complexity of a child's life due to biological, psychological, social and environmental issues, that can be completed in approximately 5 min. AMC measures two dimensions of complexity: parental concerns and impact on...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-018-1147-2

    authors: Williams U,Rosenbaum P,Gorter JW,McCauley D,Gulko R

    更新日期:2018-05-25 00:00:00

  • The clinical and molecular spectrum of galactosemia in patients from the Cape Town region of South Africa.

    abstract:BACKGROUND:The objective of this study was to document the clinical, laboratory and genetic features of galactosemia in patients from the Cape Town metropolitan region. METHODS:Diagnoses were based on thin layer chromatography for galactosuria/galactosemia and assays of erythrocyte galactose-1-phosphate uridyltransfer...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-2-7

    authors: Henderson H,Leisegang F,Brown R,Eley B

    更新日期:2002-09-02 00:00:00

  • Transition to parenthood in the neonatal care unit: a qualitative study and conceptual model designed to illuminate parent and professional views of the impact of webcam technology.

    abstract:BACKGROUND:Complications during pregnancy, childbirth and/or the postnatal period may result in the admission of a baby to a neonatal unit (NNU). While the survival and long-term prospects of high-risk infants are enhanced by admission, the enforced separation of the parent and child may have psychological consequences...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-017-0917-6

    authors: Kerr S,King C,Hogg R,McPherson K,Hanley J,Brierton M,Ainsworth S

    更新日期:2017-07-11 00:00:00

  • The impact of severe osteogenesis imperfecta on the lives of young patients and their parents - a qualitative analysis.

    abstract:BACKGROUND:Osteogenesis imperfecta (OI) is a rare genetic disorder that causes increased bone fragility. Living with, caring for, and parenting a child with OI are all highly demanding and challenging. This study is a temporal analysis of the impact of severe OI on the lives of young patients and their parents. METHOD...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-13-153

    authors: Dogba MJ,Bedos C,Durigova M,Montpetit K,Wong T,Glorieux FH,Rauch F

    更新日期:2013-09-30 00:00:00

  • Pain, motor function and health-related quality of life in children with cerebral palsy as reported by their physiotherapists.

    abstract:BACKGROUND:Children and adolescents with cerebral palsy suffer from higher levels of pain than their peers without disability. The aim of this study was to explore the impact of pain on health-related quality of life and motor function in individuals with cerebral palsy as reported by health professionals. METHODS:Cro...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-14-192

    authors: Badia M,Riquelme I,Orgaz B,Acevedo R,Longo E,Montoya P

    更新日期:2014-07-27 00:00:00

  • Dynamics of toxigenic Clostridium perfringens colonisation in a cohort of prematurely born neonatal infants.

    abstract:BACKGROUND:Clostridium perfringens forms part of the human gut microbiota and has been associated with life-threatening necrotising enterocolitis (NEC) in premature infants. Whether specific toxigenic strains are responsible is unknown, as is the extent of diversity of strains in healthy premature babies. We investigat...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-020-1976-7

    authors: Shaw AG,Cornwell E,Sim K,Thrower H,Scott H,Brown JCS,Dixon RA,Kroll JS

    更新日期:2020-02-18 00:00:00

  • The problematic use of Information and Communication Technologies (ICT) in adolescents by the cross sectional JOITIC study.

    abstract:BACKGROUND:The emerging field of Information and Communications Technology (ICT) has brought about new interaction styles. Its excessive use may lead to addictive behaviours. The objective is to determine the prevalence of the problematic use of ICT such as Internet, mobile phones and video games, among adolescents enr...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12887-016-0674-y

    authors: Muñoz-Miralles R,Ortega-González R,López-Morón MR,Batalla-Martínez C,Manresa JM,Montellà-Jordana N,Chamarro A,Carbonell X,Torán-Monserrat P

    更新日期:2016-08-22 00:00:00

  • Barriers to voluntary participation in sport for children: a systematic review.

    abstract:BACKGROUND:Numerous studies have detailed the physical health benefits of children's participation in sport and a growing body of research also highlights the benefits for mental health. Children who participate in sport have also been shown to be advantaged academically. However, despite the benefits there is evidence...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,评审

    doi:10.1186/s12887-018-1014-1

    authors: Somerset S,Hoare DJ

    更新日期:2018-02-09 00:00:00

  • Determinants of complementary feeding practices among Nepalese children aged 6-23 months: findings from Demographic and Health Survey 2011.

    abstract:BACKGROUND:The adoption of inappropriate feeding practices is one of the reasons for under nutrition in Nepal and elsewhere. The objective of this study was to describe the rate of and identify the factors associated with providing the World Health Organization (WHO) recommended infant feeding practices of minimum diet...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-13-131

    authors: Khanal V,Sauer K,Zhao Y

    更新日期:2013-08-28 00:00:00

  • Childhood disability in Malawi: a population based assessment using the key informant method.

    abstract:BACKGROUND:Epidemiological data on childhood disability are lacking in Low and Middle Income countries (LMICs) such as Malawi, hampering effective service planning and advocacy. The Key Informant Method (KIM) is an innovative, cost-effective method for generating population data on the prevalence and causes of impairme...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-017-0948-z

    authors: Tataryn M,Polack S,Chokotho L,Mulwafu W,Kayange P,Banks LM,Noe C,Lavy C,Kuper H

    更新日期:2017-11-28 00:00:00

  • A case of severe malnutrition infant with neonatal onset intractable diarrhea.

    abstract:BACKGROUND:Congenital tufting enteropathy (CTE) is a rare disease that manifests as intractable diarrhea during the neonatal period which is associated with mutations of the epithelial cell adhesion molecule (EpCAM) gene. CASE PRESENTATION:A male infant who presented with vomiting, diarrhea, abdominal distention, maln...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-020-1999-0

    authors: Fang Y,Luo Y,Yu J,Chen J

    更新日期:2020-03-23 00:00:00

  • Arthrogryposis in infancy, multidisciplinary approach: case report.

    abstract:BACKGROUND:Arthrogryposis multiplex congenita is an etiopathogenetically heterogeneous disorder characterised by non-progressive multiple intra-articular contractures, which can be recognised at birth. The frequency is estimated at 1 in 3,000 newborns. Etiopathogenesis of arthrogryposis is multifactorial. CASE PRESENT...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-13-184

    authors: Binkiewicz-Glinska A,Sobierajska-Rek A,Bakula S,Wierzba J,Drewek K,Kowalski IM,Zaborowska-Sapeta K

    更新日期:2013-11-11 00:00:00

  • NEOnatal Central-venous Line Observational study on Thrombosis (NEOCLOT): evaluation of a national guideline on management of neonatal catheter-related thrombosis.

    abstract:BACKGROUND:In critically ill (preterm) neonates, central venous catheters (CVCs) are increasingly used for administration of medication or parenteral nutrition. A serious complication, however, is the development of catheter-related thrombosis (CVC-thrombosis), which may resolve by itself or cause severe complications....

    journal_title:BMC pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12887-018-1000-7

    authors: Sol JJ,van de Loo M,Boerma M,Bergman KA,Donker AE,van der Hoeven MAHBM,Hulzebos CV,Knol R,Djien Liem K,van Lingen RA,Lopriore E,Suijker MH,Vijlbrief DC,Visser R,Veening MA,van Weissenbruch MM,van Ommen CH

    更新日期:2018-02-23 00:00:00

  • Development, evaluation and validation of a screening tool for late onset bacteremia in neonates - a pilot study.

    abstract:BACKGROUND:Clinical and laboratory parameters can aid in the early identification of neonates at risk for bacteremia before clinical deterioration occurs. However, current prediction models have poor diagnostic capabilities. The objective of this study was to develop, evaluate and validate a screening tool for late ons...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-019-1633-1

    authors: Walker SAN,Cormier M,Elligsen M,Choudhury J,Rolnitsky A,Findlater C,Iaboni D

    更新日期:2019-07-24 00:00:00

  • Oral nystatin prophylaxis to prevent systemic fungal infection in very low birth weight preterm infants: a randomized controlled trial.

    abstract:BACKGROUND:Systemic fungal infection (SFI) is one of leading causes of morbidity and mortality in very low birth weight (VLBW) preterm infants. Because early diagnosis of SFI is challenging due to nonspecific manifestations, prophylaxis becomes crucial. This study aimed to assess effectiveness of oral nystatin as an an...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-020-02074-0

    authors: Rundjan L,Wahyuningsih R,Oeswadi CA,Marsogi M,Purnamasari A

    更新日期:2020-04-17 00:00:00

  • Methemoglobin and nitric oxide therapy in Ugandan children hospitalized for febrile illness: results from a prospective cohort study and randomized double-blind placebo-controlled trial.

    abstract:BACKGROUND:Exposure of red blood cells to oxidants increases production of methemoglobin (MHb) resulting in impaired oxygen delivery to tissues. There are no reliable estimates of methemoglobinemia in low resource clinical settings. Our objectives were to: i) evaluate risk factors for methemoglobinemia in Ugandan child...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12887-016-0719-2

    authors: Conroy AL,Hawkes M,Hayford K,Hermann L,McDonald CR,Sharma S,Namasopo S,Opoka RO,John CC,Liles WC,Miller C,Kain KC

    更新日期:2016-11-04 00:00:00

  • Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017.

    abstract:BACKGROUND:Children with a history of caustic or foreign body ingestion (FBI) seem to be presenting more frequently to emergency departments. This study aims to elucidate the clinical presentation, diagnostic procedures, and complications associated with the ingestion of different object categories over a 13-year time ...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-020-02444-8

    authors: Speidel AJ,Wölfle L,Mayer B,Posovszky C

    更新日期:2020-12-18 00:00:00

  • Evaluation of treatment response, drug resistance and HIV-1 variability among adolescents on first- and second-line antiretroviral therapy: a study protocol for a prospective observational study in the centre region of Cameroon (EDCTP READY-study).

    abstract:BACKGROUND:Sub-Saharan Africa (SSA) alone has nine out of every 10 children living with HIV globally and monitoring in this setting remains suboptimal, even as these children grow older. With scalability of antiretroviral therapy (ART), several HIV-infected children are growing towards adolescence (over 2.1 million), w...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-019-1599-z

    authors: Fokam J,Santoro MM,Takou D,Njom-Nlend AE,Ndombo PK,Kamgaing N,Kamta C,Essiane A,Sosso SM,Ndjolo A,Colizzi V,Perno CF

    更新日期:2019-07-05 00:00:00

  • Post hemorrhagic hydrocephalus and neurodevelopmental outcomes in a context of neonatal intraventricular hemorrhage: an institutional experience in 122 preterm children.

    abstract:BACKGROUND:Intraventricular hemorrhage (IVH) is a frequent complication in extreme and very preterm births. Despite a high risk of death and impaired neurodevelopment, the precise prognosis of infants with IVH remains unclear. The objective of this study was to evaluate the rate and predictive factors of evolution to p...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-018-1249-x

    authors: Gilard V,Chadie A,Ferracci FX,Brasseur-Daudruy M,Proust F,Marret S,Curey S

    更新日期:2018-08-31 00:00:00

  • The CANadian Pediatric Weight management Registry (CANPWR): lessons learned from developing and initiating a national, multi-centre study embedded in pediatric clinical practice.

    abstract:BACKGROUND:There is increasing recognition of the value of "real-world evidence" in evaluating health care services. Registry-based, observational studies conducted in clinical settings represent a relevant model to achieve this directive. Starting in 2010, we undertook a longitudinal, observational study (the CANadian...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12887-018-1208-6

    authors: Morrison KM,Ball GDC,Ho J,Mackie P,Buchholz A,Chanoine JP,Hamilton J,Laberge AM,Legault L,Thabane L,Tremblay M,Zenlea I

    更新日期:2018-07-19 00:00:00

  • Reporting and methodologic quality of Cochrane Neonatal review group systematic reviews.

    abstract:BACKGROUND:The Cochrane Neonatal Review Group (CNRG) has achieved a lot with limited resources in producing high quality systematic reviews to assist clinicians in evidence-based decision-making. A formal assessment of published CNRG systematic reviews has not been undertaken; we sought to provide a comprehensive asses...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-9-38

    authors: Al Faleh K,Al-Omran M

    更新日期:2009-06-17 00:00:00

  • Chronic cutaneous candidiasis in children: should we stop there? Report of two cases associated with auto-immune polyendocrinopathy syndrome type I.

    abstract:BACKGROUND:Auto-immune polyendocrinopathy syndrome type I is a rare genetic disease, usually revealed by chronic superficial candidiasis and autoimmune endocrine dysfunction in childhood. CASES PRESENTATION:We report the cases of 2 children, a 4 years-11 months old boy and 13 years old adolescent, admitted and followe...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-020-02030-y

    authors: Minka BM,Sibetcheu T A,Sap SNU,Bissa MC

    更新日期:2020-03-18 00:00:00

  • Clinical, etiological and antimicrobial susceptibility profile of pediatric urinary tract infections in a tertiary care hospital of Nepal.

    abstract:BACKGROUND:Urinary tract infection (UTI) is one of most common pediatric infections. The study was designed to assess the clinical profile, common bacterial microorganisms causing UTI and their antimicrobial susceptibility patterns at B. P. Koirala Institute of Health Sciences (BPKIHS) hospital. METHODS:This is a pros...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-019-1410-1

    authors: Shrestha LB,Baral R,Poudel P,Khanal B

    更新日期:2019-01-29 00:00:00

  • UMOD gene mutations in Chinese patients with autosomal dominant tubulointerstitial kidney disease: a pediatric case report and literature review.

    abstract:BACKGROUND:Autosomal dominant tubulointerstitial kidney disease (ADTKD) caused by UMOD gene mutation (ADTKD-UMOD) is rare in children, characterized by hyperuricemia, gout, and progressive chronic kidney disease. It usually leads to end-stage renal failure at fiftieth decades. Here, we report a 3-year-old Chinese boy i...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,评审

    doi:10.1186/s12887-019-1522-7

    authors: Yang J,Zhang Y,Zhou J

    更新日期:2019-05-08 00:00:00

  • High level of treatment failure and drug resistance to first-line antiretroviral therapies among HIV-infected children receiving decentralized care in Senegal.

    abstract:BACKGROUND:In Senegal in 2015, an estimated 4800 children were living with HIV, with 1200 receiving ARV treatment, of whom half had follow-up care in decentralized sites outside Dakar. However, until now no studies have determined the efficacy of pediatric treatment in decentralized settings, even though the emergence ...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-019-1420-z

    authors: Cissé AM,Laborde-Balen G,Kébé-Fall K,Dramé A,Diop H,Diop K,FatouNiasse-Traoré,Coulibaly M,Have NN,Vidal N,Thiam S,Wade AS,Peeters M,Taverne B,Msellati P,Touré-Kane C

    更新日期:2019-02-05 00:00:00

  • Parent-reported sleep problems, symptom ratings, and serum ferritin levels in children with attention-deficit/hyperactivity disorder: a case control study.

    abstract:BACKGROUND:Sleep problems are common among children with attention-deficit/hyperactivity disorder (ADHD). Serum ferritin levels have been associated with the severity of symptoms and sleep disturbances among children with ADHD. This study was conducted to investigate parent-reported sleep problems in a sample of Egypti...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-13-217

    authors: Abou-Khadra MK,Amin OR,Shaker OG,Rabah TM

    更新日期:2013-12-30 00:00:00

  • A comparison of tympanic and rectal temperatures in term Nigerian neonates.

    abstract:BACKGROUND:Tympanic thermometry has come as a suitable alternative to traditional thermometry because of its safety and ease of use. However, it is still yet to gain wide acceptance in African settings due to conflicting results on its accuracy, thus rectal thermometry remains the gold standard in the newborn. The aim ...

    journal_title:BMC pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1186/1471-2431-12-86

    authors: Duru CO,Akinbami FO,Orimadegun AE

    更新日期:2012-06-25 00:00:00

  • Classic Ehlers-Dalnos syndrome presenting as atypical chronic haematoma: a case report with novel frameshift mutation in COL5A1.

    abstract:BACKGROUND:Ehlers-Danlos syndrome (EDS) is a group of inherited connective tissue disorders characterized by skin hyperextensibility, joint hypermobility and soft tissue vulnerable to blunt injury. Early recognition and diagnosis are crucial to patients to provide appropriate treatment, as well as to screen for life-th...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-020-02386-1

    authors: Chiu WC,Chen SH,Lo MC,Kuo YT

    更新日期:2020-10-27 00:00:00

  • An explanatory model of factors related to well baby visits by age three years for Medicaid-enrolled infants: a retrospective cohort study.

    abstract:BACKGROUND:Well baby visits (WBVs) are a cornerstone of early childhood health, but few studies have examined the correlates of WBVs for socioeconomically vulnerable infants. The study objective was to identify factors related to the number of WBVs received by Medicaid-enrolled infants in the first three years of life ...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-13-158

    authors: Chi DL,Momany ET,Jones MP,Kuthy RA,Askelson NM,Wehby GL,Damiano PC

    更新日期:2013-10-05 00:00:00