Impact of a Multidisciplinary Service Line and Program for Transcatheter Device Closure of the Neonatal Ductus Arteriosus.

Neonate Patent ductus arteriosus Prematurity Quality improvement Transcatheter therapy

Journal

Pediatric cardiology
ISSN: 1432-1971
Titre abrégé: Pediatr Cardiol
Pays: United States
ID NLM: 8003849

Informations de publication

Date de publication:
28 Aug 2024
Historique:
received: 18 05 2024
accepted: 13 08 2024
medline: 28 8 2024
pubmed: 28 8 2024
entrez: 28 8 2024
Statut: aheadofprint

Résumé

Outline a quality initiative establishing an institutional service line for neonatal transcatheter device closure of the patent ductus arteriosus (TDC-PDA). A retrospective descriptive observational study surrounds programmatic approach to TDC-PDA in premature neonates with process measure spanning education, implementation, referral, and post-procedural care. Metrics tracked pre- and post-program creation with statistical analyses performed. Neonatal TDC-PDA referrals increased exponentially since program inception (n = 13 in year prior; n = 42 year 1; n = 74 year 2), especially in patients weighing less than 1.3 kg (12.5%; 55%; 50%), and were associated with an increased procedural success rate (81%; 95%; 99%). Procedural checklist creation decreased procedural "out of isolette" time (median 93 min; 59; 52), and procedural-related complication or clinical sequelae (19%; 12%; 4%). A multidisciplinary service line and program dedicated to neonatal TDC-PDA can result in a significant increase in referrals as well as procedural efficacy and safety for this medically fragile population.

Identifiants

pubmed: 39196349
doi: 10.1007/s00246-024-03629-z
pii: 10.1007/s00246-024-03629-z
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

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Auteurs

R Allen Ligon (RA)

Division of Cardiology, Children's Healthcare of Atlanta, Emory University School of Medicine, 2970 Brandywine Rd, Suite 125, Atlanta, GA, 30341, USA. neonatalpdareferrals@choa.org.

Shazia Bhombal (S)

Division of Neonatology, Children's Healthcare of Atlanta, Emory University School of Medicine, 316 F 3rd Floor Emory Children's Center, Atlanta, GA, 30322, USA.

Marissa Adamson (M)

Division of Cardiology, Children's Healthcare of Atlanta, Emory University School of Medicine, 2970 Brandywine Rd, Suite 125, Atlanta, GA, 30341, USA.

Sarah Hash (S)

Children's Healthcare of Atlanta, Atlanta, USA.

Dennis W Kim (DW)

Division of Cardiology, Children's Healthcare of Atlanta, Emory University School of Medicine, 2970 Brandywine Rd, Suite 125, Atlanta, GA, 30341, USA.

Ashley S LeFevre (AS)

Children's Healthcare of Atlanta, Atlanta, USA.

Justin B Long (JB)

Division of Anesthesiology, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, USA.

Sarah McLaughlin (S)

Emory University School of Medicine, 1440 Clifton Rd NE, Atlanta, GA, 30322, USA.

Marcos Mills (M)

Division of Cardiology, Children's Healthcare of Atlanta, Emory University School of Medicine, 2970 Brandywine Rd, Suite 125, Atlanta, GA, 30341, USA.

Katie Roddy (K)

Division of Anesthesiology, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, USA.

Lucas Tucker (L)

Children's Healthcare of Atlanta, Atlanta, USA.

Cyrus Samai (C)

Division of Cardiology, Children's Healthcare of Atlanta, Emory University School of Medicine, 2970 Brandywine Rd, Suite 125, Atlanta, GA, 30341, USA.

Anthony Piazza (A)

Division of Neonatology, Children's Healthcare of Atlanta, Emory University School of Medicine, 316 F 3rd Floor Emory Children's Center, Atlanta, GA, 30322, USA.

Shannon E Hamrick (SE)

Division of Neonatology, Children's Healthcare of Atlanta, Emory University School of Medicine, 316 F 3rd Floor Emory Children's Center, Atlanta, GA, 30322, USA.

Classifications MeSH