The impact of the American Heart Association guidelines on patients treated for incomplete Kawasaki disease
| العنوان: | The impact of the American Heart Association guidelines on patients treated for incomplete Kawasaki disease |
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| المؤلفون: | Dongngan T. Truong, Igor A Areinamo, L. LuAnn Minich, Megan M Blaney, Richard V. Williams, Michael Sauer, Lloyd Y. Tani, Zhining Ou |
| المصدر: | Cardiology in the young. 32(7) |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Demographics, Adolescent, Coronary Artery Disease, Mucocutaneous Lymph Node Syndrome, Internal medicine, medicine, Humans, Child, Retrospective Studies, business.industry, Immunoglobulins, Intravenous, Infant, Retrospective cohort study, General Medicine, American Heart Association, medicine.disease, United States, Paediatric cardiology, Exact test, Single centre, medicine.anatomical_structure, Pediatrics, Perinatology and Child Health, Practice Guidelines as Topic, Kawasaki disease, Cardiology and Cardiovascular Medicine, business, Artery |
| الوصف: | Objectives:To compare patients treated for incomplete Kawasaki disease whose practitioners followed versus did not follow American Heart Association criteria and to evaluate the association of cardiology consultation with adherence to these guidelines.Study design:Single centre retrospective cohort study of patients Results:Of the 357 patients treated for Kawasaki disease, 109 (31%) were classified as incomplete Kawasaki disease. The American Heart Association algorithm for identifying patients with incomplete Kawasaki disease was followed in 81/109 (74%). Coronary artery abnormalities were present in 46/109 (42%) of the patients who were treated for incomplete Kawasaki disease. Cardiology consultation was more frequent in those fulfilling American Heart Association criteria for the diagnosis of incomplete Kawasaki disease versus those who did not fulfill criteria (76% versus 48%, p = 0.005).Conclusions:Over 25% of patients treated for incomplete Kawasaki disease did not meet American Heart Association guidelines. Guidelines were more frequently followed when the paediatric cardiology team was consulted. Consulting physicians with experience and expertise in the evaluation and management of incomplete KD should be strongly considered in the care of these patients. |
| تدمد: | 1467-1107 1047-9511 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1caad813798f1c036d41b9fd6503bcf9 https://pubmed.ncbi.nlm.nih.gov/34486518 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....1caad813798f1c036d41b9fd6503bcf9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14671107 10479511 |
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