Impact of standardized clinical assessment and management plans on resource utilization and costs in children after the arterial switch operation

Rathod, Rahul H.; Jurgen, Brittney; Hamershock, Rose; Friedman, Kevin G.; Marshall, Audrey C.; Samnaliev, Mihail; Jenkins, Kathy J.; Lock, James E.; Powell, A.

doi:10.1111/chd.12508

Cited by 8 publications

(3 citation statements)

References 19 publications

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“…Others have examined the frequency of test performance in patients with congenital heart disease and found similar variation. 12 Complicating consideration of the method to assess therapeutic BB adequacy is the fact that cardiologists responding to our survey also defined "baseline" state differently, regardless of the method of assessment used. There is a relative dearth of literature in this area as well.…”

Section: Discussionmentioning

confidence: 99%

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Practice Variation in Establishing the Adequacy of Beta-Blockers as an Antiarrhythmic Agent in School-Aged Children and Adolescents

et al. 2020

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Background: Beta-blockers (BBs) are commonly prescribed to manage arrhythmias in children and adolescents without any standardised approach to establish BB adequacy. We invited all Canadian pediatric cardiologists to participate in an anonymous survey to understand practice variation in the assessment of BB adequacy in school-aged children and adolescents with arrhythmia or the potential for arrhythmia. Methods: An electronic survey approved by the Institutional Ethics Board was distributed by e-mail to 96 Canadian pediatric cardiologists who had been active in practice for at least 1 year. Incomplete surveys were excluded. Results: Forty-one cardiologists (43%) responded to all questions in the survey. Thirteen cardiologists (32%) reported always assessing BB adequacy, 17 (41%) did so only for specific arrhythmias, and 11 (27%) reported never performing such an assessment. A total of 19 cardiologists (46%) and 18 cardiologists (44%) reported using Holter monitoring and exercise testing, respectively, to assess beta receptor CJC Open -(2020) 1e5

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Section: Discussionmentioning

confidence: 99%

“…Others have examined the frequency of test performance in patients with congenital heart disease and found similar variation. 12 …”

Section: Discussionmentioning

confidence: 99%

Practice Variation in Establishing the Adequacy of Beta-Blockers as an Antiarrhythmic Agent in School-Aged Children and Adolescents

et al. 2020

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“…A framework for cyclical analysis was defined, allowing variability in outcomes to emerge alongside refinements in care and resource utilization. Although SCAMPs can potentially reduce resource utilization and costs, as recently evidenced for treatment with arterial switch operations ( 101 ), available resources are currently insufficient to guarantee neurodevelopmental assessments in the long run.…”

Section: Current Status Of Follow-up Programsmentioning

confidence: 99%

Improving Long-Term Outcomes After Extracorporeal Membrane Oxygenation: From Observational Follow-Up Programs Toward Risk Stratification

et al. 2018

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Since the introduction of extracorporeal membrane oxygenation (ECMO), more neonates and children with cardiorespiratory failure survive. Interest has therefore shifted from reduction of mortality toward evaluation of long-term outcomes and prevention of morbidity. This review addresses the changes in ECMO population and the ECMO-treatment that may affect long-term outcomes, the diagnostic modalities to evaluate neurological morbidities and their contributions to prognostication of long-term outcomes. Most follow-up data have only become available from observational follow-up programs in neonatal ECMO-survivors. The main topics are discussed in this review. Recommendations for long-term follow up depend on the presence of neurological comorbidity, the nature and extent of the underlying disease, and the indication for ECMO. Follow up should preferably be offered as standard of care, and in an interdisciplinary, structured and standardized way. This permits evaluation of outcome data and effect of interventions. We propose a standardized approach and recommend that multiple domains should be evaluated during long-term follow up of neonates and children who needed extracorporeal life support.

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Quality and Value Improvement in Pediatric Cardiac Care

Verghese,

Clarke-Myers,

Anderson

2023

Pediatric Cardiology

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Impact of standardized clinical assessment and management plans on resource utilization and costs in children after the arterial switch operation

Abstract: SCAMPs can improve resource utilization and reduce costs after the ASO operation while maintaining quality of care.

Cited by 8 publications

References 19 publications

Practice Variation in Establishing the Adequacy of Beta-Blockers as an Antiarrhythmic Agent in School-Aged Children and Adolescents

Practice Variation in Establishing the Adequacy of Beta-Blockers as an Antiarrhythmic Agent in School-Aged Children and Adolescents

Improving Long-Term Outcomes After Extracorporeal Membrane Oxygenation: From Observational Follow-Up Programs Toward Risk Stratification

Quality and Value Improvement in Pediatric Cardiac Care

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