Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/130647
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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.date.issued2021en
dc.identifier.citationPediatric Surgery International, 2021; 37(4):1-7en
dc.identifier.issn0179-0358en
dc.identifier.issn1437-9813en
dc.identifier.urihttp://hdl.handle.net/2440/130647-
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.language.isoenen
dc.publisherSpringeren
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.doi10.1007/s00383-020-04795-wen
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1168142en
pubs.publication-statusPublisheden
dc.identifier.orcidTeague, W.J. [0000-0003-4747-6025]en
Appears in Collections:Paediatrics publications

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