ASE Statement on Adapting Pediatric, Fetal, and Congenital Heart Disease Echocardiographic Services to the Evolving COVID-19 Pandemic

Altman, Carolyn A.; Donofrio, Mary T.; Arya, Bhawna; Wasserman, Melissa; Ensing, Gregory J.; Cohen, Meryl S.; Lewin, Mark B.; Swaminathan, Madhav; Barker, Piers

doi:10.1016/j.echo.2021.01.012

Cited by 6 publications

(5 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…16 However, echocardiography is clearly not a skill that can be obtained in a purely virtual or remote learning environment. 17 Our results demonstrate that a combination of remote learning and simulator sessions could provide the fundamental knowledge and hands-on skills necessary to complete a focused assessment of ventricular function in the acute setting.…”

Section: Discussionmentioning

confidence: 68%

Sustained improvement in fellows’ echocardiographic completeness through the coronavirus pandemic with a standardised imaging protocol

et al. 2022

View full text Add to dashboard Cite

First-year cardiology fellows must quickly learn basic competency in echocardiography during fellowship orientation. This educational process was disrupted in 2020 due to the coronavirus pandemic, as our hands-on echocardiography teaching transitioned from practice on paediatric volunteers to simulation-based training. We previously described an improvement in echocardiographic completeness after implementation of a standardised imaging protocol for the performance of acute assessments of ventricular function. Herein, we assessed whether this improvement could be sustained over the two subsequent years, including the fellowship year affected by the pandemic. Echocardiograms performed by first-year paediatric cardiology fellows to assess ventricular function were reviewed for completeness. The frequency with which each requested component was included was measured. A total demographic score (out of 7) and total imaging score (out of 23) were calculated. The pre-protocol years (2015–2017) were compared to the post-protocol years (2018–2020), and the pre-COVID years (2018–2019) were compared to the year affected by COVID (2020). There was a sustained improvement in completeness after protocol implementation with improvement in the demographic score (median increasing from 6 to 7, p < 0.001) and imaging score (median increasing from 13 to 16, p < 0.001). More individual components showed a statistically significant increase in frequency compared to our prior publication. The COVID pandemic resulted in very few differences in completeness. Demographic reporting improved modestly (p = 0.04); the imaging score was unchanged (p = 0.59). The only view obtained less frequently was the apical two-chamber view. A standardised imaging protocol allowed sustained improvements in echocardiographic completeness despite the disruption of fellowship orientation by COVID-19.

show abstract

Section: Discussionmentioning

confidence: 68%

Sustained improvement in fellows’ echocardiographic completeness through the coronavirus pandemic with a standardised imaging protocol

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Finally, they encourage trainee involvement in imaging procedures. 9 Whether this pandemic and these modifications in practice will change the future patterns of how these tests are being ordered is yet to be determined.…”

Section: Discussionmentioning

confidence: 99%

“…To address these issues, professional societies and institutions created new protocols to address procedures, echocardiography, consults and nearly every other element of practice that included canceling elective procedures, increasing utilisation of telemedicine technology and reducing direct patient contact when not essential. [5][6][7][8][9][10] In this study, we used a survey-based approach to characterise the changes in paediatric cardiology practices across the country during initial peak of the COVID-19 pandemic as well as the earliest stages of re-opening. A thorough understanding of how different institutions and practices rapidly adapted to these difficult circumstances may aid in timely and effective responses to future global health emergencies.…”

mentioning

confidence: 99%

Adaptations of paediatric cardiology practice during the COVID-19 pandemic

et al. 2021

Self Cite

View full text Add to dashboard Cite

During the initial surge of the COVID-19 pandemic in the spring and summer of 2020, pediatric heart centers were forced to rapidly alter the way patient care was provided to minimize interruption to patient care as well as exposure to the virus. In this survey based descriptive study we characterize changes that occurred within pediatric cardiology practices across the United States and describe provider experience and attitudes towards these changes during the pandemic. Common changes that were implemented included decreased numbers of procedures, limiting visitors, and shifting towards telemedicine encounters. The information obtained from this survey may be useful in guiding and standardizing responses to future public health crises.

show abstract

“…The ASE Council on Pediatric and Congenital Heart Disease joined with the Society of Pediatric Echocardiography and the Fetal Heart Society to develop guidelines for imaging at the onset of the pandemic and also published the ASE Statement on Adapting Pediatric, Fetal, and Congenital Heart Disease Echocardiography Services to the Evolving COVID-19 Pandemic. [1][2][3] ASE stepped forward to lead as social determinants of health, telecardiology, education, and inclusion became both medical and national priorities. It is indeed a time when we are so excited to see how the collaboration across institutions, countries, and continents has enriched and expedited our knowledge.…”

mentioning

confidence: 99%

2021 Refocus - The Revolution of Imaging in Pediatric and Congenital Heart Disease

Srivastava¹,

Parra²

2021

Journal of the American Society of Echocardiography

View full text Add to dashboard Cite

ASE Statement on Adapting Pediatric, Fetal, and Congenital Heart Disease Echocardiographic Services to the Evolving COVID-19 Pandemic

Abstract: Over the 12 months since the start of the coronavirus disease 2019 pandemic, an explosion of investigation and an increase in experience have led to vast improvement in our knowledge about this disease. However, coronavirus disease 2019 remains a huge public health threat.

Cited by 6 publications

References 33 publications

Sustained improvement in fellows’ echocardiographic completeness through the coronavirus pandemic with a standardised imaging protocol

Sustained improvement in fellows’ echocardiographic completeness through the coronavirus pandemic with a standardised imaging protocol

Adaptations of paediatric cardiology practice during the COVID-19 pandemic

2021 Refocus - The Revolution of Imaging in Pediatric and Congenital Heart Disease

Contact Info

Product

Resources

About