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一家三级学术医院的门诊儿科心脏病学会诊

Outpatient pediatric cardiology consultations in a tertiary academic hospital.

作者信息

Alturkestani Razan N, Bahafzalla Rafeef A, Safhi Maha A, Hasanain Anhar M, Bahaidarah Saud A

机构信息

Department of Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.

Department of Pediatrics, Pediatric Cardiology Unit, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.

出版信息

J Family Med Prim Care. 2023 Jul;12(7):1303-1307. doi: 10.4103/jfmpc.jfmpc_65_23. Epub 2023 Jul 14.

Abstract

OBJECTIVES

Cardiac diseases in the pediatric population can be congenital or acquired. If the diagnosis and treatment are early, the chance for survival increases. Thus, this study aimed to determine the indications for pediatric cardiology consultations in a single tertiary hospital in Jeddah, Saudi Arabia.

MATERIALS AND METHODS

This study was conducted in 2020-2021 at a tertiary center in Jeddah, Saudi Arabia. Patients younger than 14 years of age who were referred by outpatient clinics or those who presented to the emergency department and needed outpatient cardiac evaluation were included in this study. Inpatient referrals were excluded. The Statistical Package for the Social Sciences version 21 was used for statistical analyses.

RESULTS

A total of 416 referred patients were included in this study. New patients accounted for 74% of the referrals, while known patients accounted for 26%. The median age was 2.728 years, with 56.3% being male participants. The three most common reasons for referral were: evaluation of cardiac function (21.6%), follow-up evaluation of fetal/neonatal diagnosis (19.5%), and heart murmurs (16.8%).

CONCLUSION

Most of the referrals were new patients. Of those who underwent echocardiography, 48.2% had abnormal results. We recommend further studies to help guide the direction of the residents' education and to provide better patient healthcare services.

摘要

目的

儿科人群的心脏疾病可以是先天性的或后天获得的。如果早期诊断和治疗,生存几率会增加。因此,本研究旨在确定沙特阿拉伯吉达一家三级医院儿科心脏病咨询的指征。

材料与方法

本研究于2020 - 2021年在沙特阿拉伯吉达的一家三级中心进行。纳入本研究的患者为年龄小于14岁、由门诊转诊的患者或到急诊科就诊且需要门诊心脏评估的患者。排除住院转诊患者。使用社会科学统计软件包第21版进行统计分析。

结果

本研究共纳入416例转诊患者。新患者占转诊患者的74%,已知患者占26%。中位年龄为2.728岁,男性参与者占56.3%。转诊的三个最常见原因是:心脏功能评估(21.6%)、胎儿/新生儿诊断的随访评估(19.5%)和心脏杂音(16.8%)。

结论

大多数转诊患者是新患者。在接受超声心动图检查的患者中,48.2%结果异常。我们建议进一步开展研究,以帮助指导住院医师的教育方向,并提供更好的患者医疗服务。

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