Use of fetal tele‐echo at small regional hospitals increases the rate of prenatal diagnosis of congenital heart disease

Meiman, Jenna; Zhang, Charlie; Holland, Brian

doi:10.1002/pd.6196

Cited by 8 publications

(11 citation statements)

References 20 publications

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“…32 A testable intervention is telemedicine, which has applications in remote ultrasonography, where a local ultrasonographer performs real-time fetal echocardiograms with the virtual guidance of a pediatric cardiologist, 33 as well as remote counseling for CHDs. 34,35 Telemedicine has demonstrated success in increasing prenatal diagnosis rates for states with a single CHD surgical center. 36,37 Conversely, telemedicine could exacerbate disparities due to a patient's lack of broadband Internet access or insufficient privacy.…”

Section: Discussionmentioning

confidence: 99%

“…Finding solutions for both barriers first requires understanding whether there is (1) a sufficient supply and (2) an efficient distribution of maternal‐fetal medicine subspecialists and fetal cardiologists to meet demand 32 . A testable intervention is telemedicine, which has applications in remote ultrasonography, where a local ultrasonographer performs real‐time fetal echocardiograms with the virtual guidance of a pediatric cardiologist, 33 as well as remote counseling for CHDs 34,35 . Telemedicine has demonstrated success in increasing prenatal diagnosis rates for states with a single CHD surgical center 36,37 .…”

Section: Discussionmentioning

confidence: 99%

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Patient‐reported barriers to prenatal diagnosis of congenital heart defects: A mixed‐methods study

Woo,

Burton,

Iyengar

et al. 2023

Prenatal Diagnosis

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ObjectiveTo ascertain patient‐reported, modifiable barriers to prenatal diagnosis of congenital heart defects (CHDs).MethodsThis was a mixed‐methods study among caretakers of infants who received congenital heart surgery from 2019 to 2020 in the Chicagoland area. Quantitative variables measuring sociodemographic characteristics and prenatal care utilization, and qualitative data pertaining to patient‐reported barriers to prenatal diagnosis were collected from electronic health records and semi‐structured phone surveys. Thematic analysis was performed using a convergent parallel approach.ResultsIn total, 160 caretakers completed the survey, 438 were eligible for survey, and 49 (31%) received prenatal care during the COVID‐19 pandemic. When comparing respondents and non‐respondents, there was a lower prevalence of maternal Hispanic ethnicity and a higher prevalence of non‐English/Spanish‐speaking households. Of all respondents, 34% reported an undetected CHD on ultrasound or echocardiogram, while 79% reported at least one barrier to prenatal diagnosis related to social determinants of health. Among those social barriers, the most common were difficulty with appointment scheduling (n = 12, 9.5%), far distance to care/lack of access to transportation (n = 12, 9.5%) and difficulty getting time off work to attend appointments (n = 6, 4.8%). The latter two barriers were correlated.ConclusionWhile technical improvements in the detection of CHDs remain an important area of research, it is equally critical to produce evidence for interventions that mitigate barriers to prenatal diagnosis due to social determinants of health.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patient‐reported barriers to prenatal diagnosis of congenital heart defects: A mixed‐methods study

Woo,

Burton,

Iyengar

et al. 2023

Prenatal Diagnosis

View full text Add to dashboard Cite

show abstract

“…Ultrasound can be performed in many clinical settings; however, access to clinical settings with advanced imaging technology and expertise is often limited to large urban settings. 25,26 Therefore, the use of telehealth provides the opportunity to perform an ultrasound at a remote location and transmit those images either in real-time or asynchronously for review and consultation with a specialist. 26,27 This is well illustrated by a study using telehealth to expand fetal echo coverage that found that prenatal detection of congenital heart disease increased from 13.8% to 37.9%.…”

Section: Delivery Of Services By Non-genetics Providersmentioning

confidence: 99%

“…26,27 This is well illustrated by a study using telehealth to expand fetal echo coverage that found that prenatal detection of congenital heart disease increased from 13.8% to 37.9%. 25 Another study from the Antenatal and Neonatal Guidelines, Education and Learning System, described leveraging a current telemedicine network to bring maternal-fetal medicine and urology consults to patients with a fetal diagnosis of urologic anomalies in rural areas. 28 ADAMS ET AL.…”

Section: Delivery Of Services By Non-genetics Providersmentioning

confidence: 99%

Telegenetics to provide comprehensive prenatal diagnosis

Adams,

Ball,

Darilek

2024

Prenatal Diagnosis

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Telehealth is an effective way to increase access to genetic services and can address several challenges, including geographic barriers, a shortage of interpreter services, and workforce issues, especially for prenatal diagnosis. The addition of prenatal telegenetics to current workflows shows promise in enhancing the delivery of genetic counseling and testing in prenatal care, providing accessibility, accuracy, patient satisfaction, and cost‐effectiveness. Further research is needed to explore long‐term patient outcomes and the evolving role of telehealth for prenatal diagnosis. Future studies should address the accuracy of diagnoses, the impact of receiving a diagnosis in a virtual setting, and patient outcomes in order to make informed decisions about the appropriate use of telemedicine in prenatal genetics service delivery.

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“…Respecto a la utilidad en las cardiopatías congénitas, la implementación de un sistema de teleultrasonido en hospitales regionales pequeños mejora la tasa de detección de anomalías cardíacas (13,8% antes frente a 39,7% luego de su implementación; p < 0,01) 11 .…”

Section: Telemedicina En Diagnóstico Prenatalunclassified

Diagnóstico antenatal de cardiopatías congénitas por telemedicina: experiencia en CERPO, 2017-2022

Rojas-Senzano¹,

Fuente-Gallegos²,

Enríquez-Guzmán³

et al. 2023

RECHOG

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Introducción: Las cardiopatías congénitas son las anomalías más frecuentes y la principal causa de muerte infantil y neonatal. El diagnóstico prenatal mejora el resultado perinatal determinando el lugar de nacimiento y el nivel de cuidado neonata. La telemedicina mediante videoconferencia en tiempo real permite mejorar la precisión diagnóstica y planificar el nacimiento. Objetivo: Determinar el diagnóstico y manejo perinatal de fetos con sospecha de cardiopatía congénitas, evaluadas a través de telemedicina en tiempo real atendidas en CERPO en el periodo 2017-2022. Material y métodos: Estudio retrospectivo de las evaluaciones mediante telemedicina en tiempo real realizadas en CERPO entre los años 2017 a 2022. Se revisó el resultado perinatal y se compararon los diagnósticos pre y postnatales, extraídos de la base de datos CERPO y Unidad de Neonatología del Hospital Luis Tisné Brousse. Resultados: La correlación del diagnóstico de cardiopatía congénita mediante telemedicina es de un 81,8% y de 89,8% con el diagnostico posnatal. Conclusiones: La evaluación por medio de telemedicina permite mejorar la precisión diagnostica de la cardiopatía congénita en áreas con escaso acceso a operadores experimentados en evaluación cardiaca fetal. Esto minimiza el impacto económico y social asociado al manejo perinatal de un feto con cardiopatía congénita en nuestro país.

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Use of fetal tele‐echo at small regional hospitals increases the rate of prenatal diagnosis of congenital heart disease

Abstract: Background:To improve the rate of prenatal diagnosis of Congenital heart disease

Cited by 8 publications

References 20 publications

Patient‐reported barriers to prenatal diagnosis of congenital heart defects: A mixed‐methods study

Patient‐reported barriers to prenatal diagnosis of congenital heart defects: A mixed‐methods study

Telegenetics to provide comprehensive prenatal diagnosis

Diagnóstico antenatal de cardiopatías congénitas por telemedicina: experiencia en CERPO, 2017-2022

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