Appropriate Use Criteria for paediatric echocardiography in an outpatient practice: a validation study

Cardiology in the Young
Mark J CartoskiPhilip J Spevak


Although transthoracic echocardiography is the dominant imaging modality in CHD, optimal utilisation is unclear. We assessed whether adherence to the paediatric Appropriate Use Criteria for outpatient transthoracic echocardiography could reduce inappropriate use without missing significant cardiac disease. Using the Appropriate Use Criteria, we determined the indication and appropriateness rating for each initial echocardiogram performed at our institution during calendar year 2014 (N=1383). Chart review documented ordering provider training, patient demographics, and study result, classified as normal, abnormal, or abnormal motivating treatment within a 2-year follow-up period. We tested whether provider training level or patient age correlated with echocardiographic findings or appropriateness rating. We found that 83.9% of echocardiograms were normal and that 66.7% had an appropriate indication. Nearly all abnormal results and all results motivating treatment were in appropriate studies, giving an odds ratio of 2.73 for an abnormal result if an appropriate indication was present (95% confidence interval 1.92-3.89, p<0.001). None of the remaining initial abnormal results with less than appropriate indications became significa...Continue Reading


Feb 1, 1996·Archives of Pediatrics & Adolescent Medicine·B W McCrindleL Kidd
Oct 16, 2002·The Journal of Pediatrics·Michael S YiUma R Kotagal
Jul 24, 2013·JAMA Internal Medicine·Susan A MatuleviciusSharon C Reimold
Sep 5, 2015·Journal of the American College of Cardiology·Ritu SachdevaWyman W Lai
Mar 17, 2016·Cardiology in the Young·Zahra KhairandishSaeedeh Haghbin
Jun 11, 2016·Congenital Heart Disease·Kirsten Rose-FelkerRitu Sachdeva
Aug 16, 2016·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Shubhika SrivastavaWyman W Lai
Nov 9, 2016·Pediatric Cardiology·Sean M LangR Thomas Collins
Nov 20, 2016·Congenital Heart Disease·Sean M LangR Thomas Collins
Feb 28, 2017·The Journal of Pediatrics·Kirsten Rose-FelkerRitu Sachdeva
Apr 4, 2017·The Journal of Pediatrics·Tuan NguyenLeo Lopez
May 16, 2017·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Reid C ChamberlainMichael J Campbell
Jun 28, 2017·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Ritu SachdevaPamela S Douglas

❮ Previous
Next ❯

Related Concepts

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.


Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.


Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
James N KirkpatrickSusan E Wiegers
The American Journal of Cardiology
Gowtham RaoMichael L Main
Journal of the American College of Cardiology
R Sacha BhatiaRory B Weiner
Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
Soultana KourtidouAmy H Schultz
© 2022 Meta ULC. All rights reserved