GUIDELINES FOR EVALUATION AND MANAGEMENT OF COMMON CONGENITAL CARDIAC PROBLEMS IN INFANTS, CHILDREN, AND ADOLESCENTS - A STATEMENT FOR HEALTH-CARE PROFESSIONALS FROM THE COMMITTEE-ON-CONGENITAL-CARDIAC-DEFECTS OF THE COUNCIL-ON-CARDIOVASCULAR-DISEASE-IN-THE-YOUNG, AMERICAN-HEART-ASSOCIATION
GUIDELINES FOR EVALUATION AND MANAGEMENT OF COMMON CONGENITAL CARDIAC PROBLEMS IN INFANTS, CHILDREN, AND ADOLESCENTS - A STATEMENT FOR HEALTH-CARE PROFESSIONALS FROM THE COMMITTEE-ON-CONGENITAL-CARDIAC-DEFECTS OF THE COUNCIL-ON-CARDIOVASCULAR-DISEASE-IN-THE-YOUNG, AMERICAN-HEART-ASSOCIATION
复制标题
DOI：
10.1161/01.cir.90.4.2180
复制
发表时间：
1994-10-01
期刊：
影响因子：
37.8
通讯作者：
DANIELSON, GK
中科院分区：
文献类型：
--
作者：
DRISCOLL, D;ALLEN, HD;DANIELSON, GK
适当使用诊断和治疗技术对于确保以具有成本效益的方式为患者提供最佳和有效的治疗至关重要。理想情况下，指导方针，适当的，具有成本效益的照顾病人应该基于结果的研究管理策略。在缺乏可靠的结果研究的情况下，经验丰富的儿科心脏病专家的传统智慧可以用来制定指南。然而，在获得结果研究后，必须对这些准则进行审查。此外，指南应随着诊断和治疗技术的变化而变化。在先天性心脏缺陷患者的评价方面积累了约50年的经验。现在，对几种情况和缺陷进行了结果分析，其他情况正在发表。儿科心脏病学的知识足以让诊断和治疗相对简单，但常见的问题的发展指南。认识到对诊断和治疗实践的批判性分析可以改善患者护理并降低医疗成本，美国心脏协会心血管疾病理事会的先天性心脏缺陷委员会制定了以下管理和治疗指南。
Appropriate use of diagnostic and therapeutic techniques is important to ensure optimum and efficient treatment of patients in a cost-effective manner. Ideally, guidelines for appropriate, cost-effective care of patients should be based on outcome studies of management strategies. In the absence of reliable outcome studies, the conventional wisdom of experienced pediatric cardiologists can be used to de-velop guidelines. However, such guidelines must be subjected to review when outcome studies become available. In addition, the guidelines should change as diagnostic and therapeutic technologies change. Approximately 50 years of experience in evaluation of patients with congenital cardiac defects has accumulated. Outcome analyses are now available for several conditions and defects, and others are being published. Knowledge of pediatric cardiology is sufficient to allow the development of diagnostic and treatment guidelines for relatively simple but common problems. Recogniz-ing that critical analysis of diagnostic and treatment practices improves patient care and could reduce the cost of medical care, the Committee on Congenital Cardiac Defects of the American Heart Association Council on Cardiovascular Disease in the Young developed the following sets of management and treatment guidelines.