The impact of the American Heart Association guidelines on patients treated for incomplete Kawasaki disease
| Autor: | Dongngan T. Truong, Igor A Areinamo, L. LuAnn Minich, Megan M Blaney, Richard V. Williams, Michael Sauer, Lloyd Y. Tani, Zhining Ou |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Demographics Adolescent Coronary Artery Disease Mucocutaneous Lymph Node Syndrome Internal medicine medicine Humans Child Retrospective Studies business.industry Immunoglobulins Intravenous Infant Retrospective cohort study General Medicine American Heart Association medicine.disease United States Paediatric cardiology Exact test Single centre medicine.anatomical_structure Pediatrics Perinatology and Child Health Practice Guidelines as Topic Kawasaki disease Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Cardiology in the young. 32(7) |
| ISSN: | 1467-1107 1047-9511 |
| Popis: | Objectives:To compare patients treated for incomplete Kawasaki disease whose practitioners followed versus did not follow American Heart Association criteria and to evaluate the association of cardiology consultation with adherence to these guidelines.Study design:Single centre retrospective cohort study of patients Results:Of the 357 patients treated for Kawasaki disease, 109 (31%) were classified as incomplete Kawasaki disease. The American Heart Association algorithm for identifying patients with incomplete Kawasaki disease was followed in 81/109 (74%). Coronary artery abnormalities were present in 46/109 (42%) of the patients who were treated for incomplete Kawasaki disease. Cardiology consultation was more frequent in those fulfilling American Heart Association criteria for the diagnosis of incomplete Kawasaki disease versus those who did not fulfill criteria (76% versus 48%, p = 0.005).Conclusions:Over 25% of patients treated for incomplete Kawasaki disease did not meet American Heart Association guidelines. Guidelines were more frequently followed when the paediatric cardiology team was consulted. Consulting physicians with experience and expertise in the evaluation and management of incomplete KD should be strongly considered in the care of these patients. |
| Databáze: | OpenAIRE |
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