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Erschienen in: Pediatric Cardiology 6/2016

18.04.2016 | Original Article

Unplanned Repeat Echocardiography with Sedation in Children: Patient Risk Factors

verfasst von: Kenan W. D. Stern, Chen Chen, Hillel W. Cohen, Joseph Mahgerefteh, Sarah A. Chambers, Leo Lopez

Erschienen in: Pediatric Cardiology | Ausgabe 6/2016

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Abstract

Patient selection criteria for echocardiography with sedation in children are not well defined. We attempted to identify predictors of unplanned repeat echocardiography with sedation. This was a single-center, case–control study of echocardiograms performed in children aged 1–36 months. Cases underwent unplanned repeat examinations with sedation, while controls did not. Patient variables and study indications were compared. Logistic regression identified the most significant predictors. Cases (n = 104, median time to repeat echocardiogram 17 days, median age 12.9 months) were older than controls (n = 212, median age 5.0 months, P < 0.001). Significantly more cases than controls had structural cardiac disease (64 vs. 23 %) and anatomic complexity ≥moderate (38 vs. 5 %, P < 0.001 for both). Cases more often had Kawasaki disease (11 vs. 2 %), and controls more often had murmur (56 vs. 11 %, P < 0.001 for both). Logistic regression identified age 6 months to <2 years (OR 3.26, 95 % CI 1.70–6.28, P < 0.001), Kawasaki disease (OR 5.20, 95 % CI 1.46–18.50, P = 0.01), and known pre-echocardiogram anatomic complexity ≥moderate (OR 3.99, 95 % CI 1.64–9.66, P = 0.002) as significant risk factors. An indication for murmur was protective (OR 0.32, 95 % CI 0.13–0.76, P = 0.01). We identified several risk factors for unplanned repeat echocardiography with sedation in children, including age 6 months to <2 years, higher anatomic complexity, and Kawasaki disease. Murmur was a protective factor. These results may help pediatric echocardiography laboratories establish criteria for sedation.
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Metadaten
Titel
Unplanned Repeat Echocardiography with Sedation in Children: Patient Risk Factors
verfasst von
Kenan W. D. Stern
Chen Chen
Hillel W. Cohen
Joseph Mahgerefteh
Sarah A. Chambers
Leo Lopez
Publikationsdatum
18.04.2016
Verlag
Springer US
Erschienen in
Pediatric Cardiology / Ausgabe 6/2016
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-016-1391-x

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