1. Consensus‐Based Development of a Pediatric Echocardiography Complexity Score: Design, Rationale, and Results of a Quality Improvement Collaborative
- Author
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Sowmya Balasubramanian, Sunkyung Yu, Sarina K. Behera, Aarti H. Bhat, Joseph A. Camarda, Nadine F. Choueiter, Pei‐Ni Jone, Leo Lopez, Shobha S. Natarajan, David A. Parra, Anitha Parthiban, Ritu Sachdeva, Shubhika Srivastava, and Elif Seda Selamet Tierney
- Subjects
complexity score ,congenital heart disease ,pediatric echocardiography ,resource use ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background The complexity of congenital heart disease has been primarily stratified on the basis of surgical technical difficulty, specific diagnoses, and associated outcomes. We report on the refinement and validation of a pediatric echocardiography complexity (PEC) score. Methods and Results The American College of Cardiology Quality Network assembled a panel from 12 centers to refine a previously published PEC score developed in a single institution. The panel refined complexity categories and included study modifiers to account for complexity related to performance of the echocardiogram. Each center submitted data using the PEC scoring tool on 15 consecutive inpatient and outpatient echocardiograms. Univariate and multivariate analyses were performed to assess for independent predictors of longer study duration. Among the 174 echocardiograms analyzed, 68.9% had underlying congenital heart disease; 44.8% were outpatient; 34.5% were performed in an intensive care setting; 61.5% were follow‐up; 46.6% were initial or preoperative; and 9.8% were sedated. All studies had an assigned PEC score. In univariate analysis, longer study duration was associated with several patient and study variables (age
- Published
- 2024
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