Implementation of a statewide, multisite fetal tele-echocardiography program: evaluation of more than 1100 fetuses over 9 years
Implementation of a statewide, multisite fetal tele-echocardiography program: evaluation of more than 1100 fetuses over 9 years
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DOI：
10.1038/s41372-020-0677-2
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发表时间：
2020-05-07
影响因子：
2.9
通讯作者：
Bornemeier, Renee A.
中科院分区：
文献类型：
--
作者：
Bolin, Elijah H.;Collins, R. Thomas, II;Bornemeier, Renee A.
目的：我们试图描述全州范围内胎儿远程超声心动图计划的实施和有效性，该计划为资源有限的人群提供服务。研究设计2009年，我们的心脏中心在全州建立了六个卫星诊所，用于胎儿远程超声心动图检查。我们回顾性审查了2018年之前进行的所有胎儿远程超声心动图。每年全州范围内可手术先天性心脏病的产前检出率从胸外科医师协会数据库中查询。结果1164例胎儿超声心动图诊断各种类型先天性心脏病的敏感性为74%，特异性为97%。对于导管依赖性先天性心脏病的检测，胎儿远程超声心动图是100%的敏感性和特异性。在2009年至2018年期间，全州范围内需要在出生后前6个月进行心脏手术的先天性心脏病的产前检测率上升了159%（17-44%; R-2 = 0.88，p < 0.01）。结论本研究提供了一个框架，一个有效的，大规模的胎儿远程超声心动图程序。
Objectives We sought to describe the implementation and effectiveness of a statewide fetal tele-echocardiography program serving a resource-limited population. Study design In 2009, our heart center established six satellite clinics for fetal tele-echocardiography around the state. We retrospectively reviewed all fetal tele-echocardiograms performed through 2018. Yearly statewide prenatal detection rates of operable congenital heart disease were queried from the Society of Thoracic Surgeons database. Result In 1164 fetuses, fetal tele-echocardiography identified all types of congenital heart disease, with a sensitivity of 74% and specificity of 97%. For the detection of ductal-dependent congenital heart disease, fetal tele-echocardiography was 100% sensitive and specific. Between 2009 and 2018, annual statewide prenatal detection rates of congenital heart disease requiring heart surgery in the first 6 months of life rose by 159% (17-44%; R-2 = 0.88, p < 0.01). Conclusions The present study provides a framework for an effective, large-scale fetal tele-echocardiography program.