Please use this identifier to cite or link to this item:
Scopus Web of Science® Altmetric
Full metadata record
DC FieldValueLanguage
dc.contributor.authorTanny, S.P.T.en
dc.contributor.authorKing, S.K.en
dc.contributor.authorComella, A.en
dc.contributor.authorHawley, A.en
dc.contributor.authorBrooks, J.A.en
dc.contributor.authorHunt, R.W.en
dc.contributor.authorJones, B.en
dc.contributor.authorTeague, W.J.en
dc.identifier.citationPediatric Surgery International, 2021; 37(4):1-7en
dc.description.abstractPurpose Preoperative echocardiography is used routinely in neonates with esophageal atresia to identify patients in whom congenital cardiac disease will impact upon anesthetic and surgical decision-making. We aimed to determine the suitability of selective preoperative echocardiography. Methods We performed a single-center retrospective review of neonates with esophageal atresia over 6 years (2010-2015) at our tertiary pediatric institution. Data included preoperative clinical examination, chest x-ray, and echocardiography. Endpoints were cardiovascular, respiratory, radiological, and echocardiography findings. Selective strategies were assessed using sensitivity, specificity, positive predictive value, and negative predictive value.Results We identified 115 neonates with esophageal atresia. All underwent preoperative echocardiography. Cardiac defects were identified in 49/115 (43%) (major 9/115, moderate 4/115). Sensitivity, specificity, positive predictive value, and negative predictive value of abnormal clinical and radiologic assessment for major and moderate cardiac defects were 92%, 25%, 13%, 96%; for clinical examination alone were 92%, 25%, 14%, 96%; for absence of murmur, cyanosis, and abnormal respiratory examination were 92%, 28%, 13%, 97%. Selective strategies reduce echocardiograms performed by 22%. Conclusion Selective strategies allow for identification of neonates with esophageal atresia who may have deferral of echocardiogram unill after surgery. Selection may improve timeliness of care and resource utilization, without compromising patient safety.en
dc.description.statementofresponsibilitySharman P. Tan Tanny, Sebastian K. King, Assia Comella, Alisa Hawley, Jo-Anne Brooks, Rod W. Hunt ... et al.en
dc.rights© Springer-Verlag GmbH Germany, part of Springer Nature 2021en
dc.subjectCongenital heart disease; Echocardiography; Esophageal atresia; Tracheoesophageal fistulaen
dc.titleSelective approach to preoperative echocardiography in esophageal atresiaen
dc.typeJournal articleen
dc.identifier.orcidTeague, W.J. [0000-0003-4747-6025]en
Appears in Collections:Paediatrics publications

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.