TY - JOUR
T1 - Paediatric cardiologist adherence to American Heart Association neurodevelopmental recommendations for CHD patients
AU - Sidhu, Sharnendra K.
AU - McLaughlin, Laura J.
AU - Pham, Tammy B.
AU - Lazarevic, Bojan
AU - Kriegel, Elana R.
AU - Rosenthal, Hannah E.
AU - Rabinowitz, Edon J.
AU - Milanaik, Ruth L.
N1 - Publisher Copyright:
© The Author(s), 2022. Published by Cambridge University Press.
PY - 2023/4/5
Y1 - 2023/4/5
N2 - A 2012 American Heart Association statement concluded that children with CHD are at an increased risk for neurodevelopmental delays. Routine surveillance and evaluation throughout childhood are recommended. To assess paediatric cardiologist compliance with American Heart Association guidelines and developmental referral practices, a survey was distributed to paediatric cardiologists nationwide (n = 129). The majority of participants (69%) stated they were somewhat familiar or not familiar with the American Heart Association statement and were concerned about patients not being properly referred to specialists for developmental evaluation. Forty paediatric cardiologists (31%) indicated that their institution did not have a neurodevelopmental cardiology programme. Of these, 25% indicated they generally did not refer CHD patients for neurodevelopmental evaluation, 45% performed surveillance and referred if warranted, and 30% generally referred all patients for surveillance. Lastly, 43% of paediatric cardiologists did not feel responsible for developmental surveillance, and 11% did not feel responsible for referrals. To ensure all children with CHD are appropriately screened and referred, paediatricians and cardiologists must work together to address differing impressions of accountability for surveillance and screening of children with CHD.
AB - A 2012 American Heart Association statement concluded that children with CHD are at an increased risk for neurodevelopmental delays. Routine surveillance and evaluation throughout childhood are recommended. To assess paediatric cardiologist compliance with American Heart Association guidelines and developmental referral practices, a survey was distributed to paediatric cardiologists nationwide (n = 129). The majority of participants (69%) stated they were somewhat familiar or not familiar with the American Heart Association statement and were concerned about patients not being properly referred to specialists for developmental evaluation. Forty paediatric cardiologists (31%) indicated that their institution did not have a neurodevelopmental cardiology programme. Of these, 25% indicated they generally did not refer CHD patients for neurodevelopmental evaluation, 45% performed surveillance and referred if warranted, and 30% generally referred all patients for surveillance. Lastly, 43% of paediatric cardiologists did not feel responsible for developmental surveillance, and 11% did not feel responsible for referrals. To ensure all children with CHD are appropriately screened and referred, paediatricians and cardiologists must work together to address differing impressions of accountability for surveillance and screening of children with CHD.
KW - American Heart Association
KW - CHD
KW - adherence
KW - neurodevelopmental outcomes
UR - http://www.scopus.com/inward/record.url?scp=85159169397&partnerID=8YFLogxK
U2 - 10.1017/S1047951122001329
DO - 10.1017/S1047951122001329
M3 - Article
C2 - 35508421
AN - SCOPUS:85159169397
SN - 1047-9511
VL - 33
SP - 590
EP - 596
JO - Cardiology in the young
JF - Cardiology in the young
IS - 4
ER -