Functional echocardiography in the neonatal intensive care unit: experience in a tertiary level hospital

Hernández-Benítez, Rodrigo; Becerra-Becerra, Rosario

doi:10.1016/j.bmhime.2017.11.005

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…Table 8 shows various studies on how echocardiographic findings changed management in neonates. Studies done by Kadivar et al [ 4 ] and Hernández-Benítez et al [ 12 ] showed that echocardiographic findings changed management in 159 (66%) and 11 (73%) neonates, respectively. In the present study, the change of therapeutic management was done in 48 (42.1%) neonates, which has a comparable result to the studies done by Corredera et al [ 13 ] and El-Kuffash et al [ 9 ], where a change in management was done in 18 (37%) and 80 (40%) neonates, respectively.…”

Section: Discussionmentioning

confidence: 99%

Echocardiographic Evaluations in Sick Neonates in Neonatal Intensive Care Unit: A Clinical Study

Desai,

Taksande

2024

Cureus

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Introduction Echocardiography is pivotal in neonatal care by providing valuable insights into cardiac function, anatomy, and hemodynamics. The ability of echocardiography to guide clinical decision-making is evident in its capacity to influence and change management strategies. Therefore, the goal of the current study was to know the prevalence of heart disease and the association between echocardiographic indications and neonatal outcomes and interventions. Materials and method This prospective cross-sectional study was conducted in the Neonatology Department, Datta Meghe Institute of Higher Education and Research, Sawangi, Wardha. Ill neonates admitted to the neonatal intensive care unit (NICU) were selected in a randomized manner, and echocardiography was performed. The decision was made on the indications for echocardiography, the echocardiographic findings, and any modifications to the clinical care. Mean differences were compared using an unpaired Student's t-test. A significant level is defined as a p-value of less than 0.05. Results Of all the ill neonates, heart disease was present in 60 (52.6%) neonates. The most frequent indication for echocardiography was respiratory distress in 39 (34.21%). In neonates with heart disease, 27(45%) had acyanotic heart disease, nine (15%) had cyanotic heart disease, and 24(40%) had miscellaneous heart disease. The mean appearance, pulse, grimace, activity, and respiration (APGAR) score at five minutes in neonates without heart disease was 9.05, and for those with heart disease, it was 8.95, with no statistically significant difference. Out of 114 neonates, the mean NICU stay of neonates without heart disease was 6.59 days, and those with heart disease was 9.95 days with a p-value of 0.0001, hence showing statistically significant differences. Out of all the 114 neonates, 57.89% underwent no intervention, 36.85% underwent medical intervention, and 5.26% underwent surgical interventions. Out of 114 neonates, 101 neonates were discharged, and 13 neonates were dead. Out of the 54 neonates with no cardiac abnormality, 50 (92.59%) were discharged, and four (7.41%) neonates were dead. Out of the 60 neonates with cardiac abnormality, 51 (85%) were discharged, and nine (15%) were dead, with a p-value of 0.203, showing no statistical significance between cardiac abnormality and neonatal outcome. Conclusion Our study emphasizes the pivotal role of echocardiography in the NICU for evaluating ill neonates. The findings underline the significance of early detection and precise diagnostic insights provided by echocardiography, contributing to tailored management strategies. The study highlights the transformative impact of echocardiography on clinical decision-making, facilitating timely interventions and improving overall neonatal care. Echocardiography is essential to improving outcomes for these susceptible newborns in the NICU as we continue to expand our knowledge of neonatal heart health.

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Section: Discussionmentioning

confidence: 99%

Echocardiographic Evaluations in Sick Neonates in Neonatal Intensive Care Unit: A Clinical Study

Desai,

Taksande

2024

Cureus

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“…Se conocen dos estudios en México sobre los resultados del programa de EfN, en los cuales un cardiólogo pediatra realizó la valoración. En el primero se evaluaron 15 neonatos (30 estudios) por inestabilidad hemodinámica y se justificó el cambio del manejo en 11 pacientes (73%); a las 24 horas fueron reevaluados y 10 de ellos presentaron cambios 22 . En el segundo, en un centro privado, se analizaron 74 estudios en 37 neonatos, y se generaron cambios en el 70% de las ocasiones 23 .…”

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Análisis de los resultados del programa de ecocardiografía funcional neonatal en un hospital pediátrico de tercer nivel

Ibarra-Ríos¹,

Márquez-González²,

Quiroga-Valdés³

et al. 2020

BMHIM

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utilidad del estudio ecocardiográfico en las enfermedades que afectan a los neonatos en estado crítico, por lo que se debe capacitar al neonatólogo para la toma y la interpretación de variables hemodinámicas que apoyen la toma de decisiones. El objetivo de este estudio fue describir los resultados del programa de ecocardiografía funcional neonatal y comparar las variables clínicas y hemodinámicas entre sobrevivientes y no sobrevivientes. Métodos: Durante un periodo de 2 años se realizó un estudio observacional, transversal y comparativo en neonatos que fueron evaluados con ecocardiografía funcional neonatal por alteraciones hemodinámicas del conducto arterioso persistente, hipertensión pulmonar aguda y crónica, estado de choque y búsqueda de trombos y vegetaciones. Se evaluaron parámetros de funcionalidad de los ventrículos derecho e izquierdo, presión pulmonar y subrogados de sobrecarga pulmonar. Se realizó un análisis comparativo (U de Mann Whitney y χ 2 ). De acuerdo con los resultados, se emitieron recomendaciones para el inicio, el ajuste o el retiro de fármacos vasoactivos. Resultados: Se realizaron 269 estudios en 119 neonatos (64.7% prematuros, mortalidad del 15%) atendidos por hipertensión pulmonar aguda (38%), conducto arterioso persistente (27%), choque (19%), hipertensión pulmonar crónica (14%) o búsqueda de trombos (2%). Se recomendó cambiar el manejo en el 45% de los estudios. El grupo de no sobrevivientes presentó diferencias significativas en los parámetros de función sistólica del ventrículo derecho y aumento de su poscarga. Conclusiones: La causa principal de la evaluación con ecocardiografía funcional neonatal fue la hipertensión pulmonar. De forma global, se recomendó un ajuste farmacológico en el 45% de los casos.

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Functional echocardiography in the neonatal intensive care unit: experience in a tertiary level hospital

Cited by 2 publications

References 12 publications

Echocardiographic Evaluations in Sick Neonates in Neonatal Intensive Care Unit: A Clinical Study

Echocardiographic Evaluations in Sick Neonates in Neonatal Intensive Care Unit: A Clinical Study

Análisis de los resultados del programa de ecocardiografía funcional neonatal en un hospital pediátrico de tercer nivel

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