Practice variability in management of infectious issues in heterotaxy: A survey of pediatric cardiologists

Loomba, Rohit S.; Geddes, Gabrielle C.; Shillingford, Amanda J.; Hehir, David A.

doi:10.1111/chd.12448

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Nonetheless, these estimated response rates were consistent with those previously reported for non-incentivized, web-based surveys of healthcare providers. [17][18][19][20][21] The critical care nurses' association had the lowest response rate, consistent with other large-scale surveys of nurses, 27,28 which may reflect the email list consisting of retirees or those with changes in their career paths. Another limitation of this study is that, despite providing respondents with pre-tested educational content, we cannot rule out the possibility that respondents did not comprehend the information provided.…”

Section: Discussionsupporting

confidence: 69%

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Attitudes of healthcare providers towards cardiac donation after circulatory determination of death: a Canadian nation-wide survey

Honarmand

Leigh

Basmaji

et al. 2020

Can J Anesth/J Can Anesth

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The number of patients on cardiac transplant waitlists exceeds the number of available donor organs. Cardiac donation is currently limited to those declared dead by neurologic criteria in all but three countries. Cardiac donation after circulatory determination of death (cardiac DCDD) can be conducted using direct procurement and perfusion (DPP) or normothermic regional perfusion (NRP). Implementation of cardiac DCDD in many countries has been slowed by ethical debates within the donation and transplantation community. We conducted a national survey to determine the perceptions of healthcare providers regarding cardiac DCDD. Methods We conducted an electronic survey of 398 healthcare providers who are involved in the management of heart donors and/or heart transplant recipients in Canada (226 nurses, 82 critical care physicians, 31 donation specialists, and 59 transplant specialists). Our primary outcomes were their attitudes towards and concerns regarding cardiac DCDD protocols This article is accompanied by an editorial. Please see Can J Anesth 2020; 67: this issue.

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Section: Discussionsupporting

confidence: 69%

“…We aimed to obtain a response rate of 30% using email contacts as the denominator, consistent with the findings of previous studies on response rates in national, nonincentivized, web-based surveys of healthcare providers. [17][18][19][20][21]…”

Section: Survey Administrationmentioning

confidence: 99%

Attitudes of healthcare providers towards cardiac donation after circulatory determination of death: a Canadian nation-wide survey

Honarmand

Leigh

Basmaji

et al. 2020

Can J Anesth/J Can Anesth

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Variation in Anticoagulation Practices in the Congenital Cardiac Catheterization Lab: Results of a Multinational PICES Survey

Taggart

Gordon

Morgan³

et al. 2018

Pediatr Cardiol

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The complex nature of congenital heart disease (CHD) has hindered the establishment of management standards for peri-catheterization anticoagulation. We sought to describe anticoagulation practice variability among providers performing cardiac catheterization in children and adults with CHD. A web-based survey ( http://www.surveymonkey.com ) was distributed to pediatric and congenital interventional cardiologists. Respondents were queried on their training, practice setting, years in practice, and case volume. Clinical questions focused on general anticoagulation strategies and on five common clinical scenarios: two diagnostic (biventricular circulation, single ventricle physiology) and three interventional cardiac catheterizations (atrial septal defect closure, pulmonary artery stenting in Fontan circulation, stent placement for coarctation of aorta). Seventy-seven pediatric and congenital interventional cardiologists responded to the survey (81% in the United States). Twenty-six (36%) worked in a public medical institution; 57% worked in a free-standing children's hospital. Twenty-six percent had been in practice for < 5 years and 32% for > 15 years; 75% completed additional training in interventional congenital cardiology. The median number of cases performed was 200/year (IQR 110); median number of interventional cases was 100/year (IQR 100). Responses to general queries and specific clinical scenarios suggested significant variation in anticoagulation practices, including monitoring of anticoagulation during catheterization, protamine use, and outpatient anticoagulation after catheterization. Practices not only varied between providers but also between different clinical scenarios. Practice patterns did not correlate with provider experience or case volume. Management of anticoagulation in the congenital cardiac catheterization lab varies from operator to operator. Our study may provide some initial insight and context for discussion regarding anticoagulation in a field of increasingly heterogeneous interventional techniques and patient substrates. Future studies would be helpful to better define "best practices" for peri-procedural thromboprophylaxis in patients with congenital heart disease.

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Neonatal Assessment of Infants with Heterotaxy

Geddes

Samudrala

Earing

2020

Clinics in Perinatology

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Practice variability in management of infectious issues in heterotaxy: A survey of pediatric cardiologists

Cited by 3 publications

References 24 publications

Attitudes of healthcare providers towards cardiac donation after circulatory determination of death: a Canadian nation-wide survey

Attitudes of healthcare providers towards cardiac donation after circulatory determination of death: a Canadian nation-wide survey

Variation in Anticoagulation Practices in the Congenital Cardiac Catheterization Lab: Results of a Multinational PICES Survey

Neonatal Assessment of Infants with Heterotaxy

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