Abstract 15798: Yield of Echocardiograms Using Appropriate Use Criteria in an Outpatient Pediatric Cardiology Clinic at an Urban Community Hospital

• Published in: Circulation (New York, N.Y.) N.Y.), 2016-11, Vol.134 (Suppl_1 Suppl 1), p.A15798-A15798
• Main Authors: Billa, Ramya Deepthi, Zeinali, Lida, Szpunar, Susan, Anne, Premchand
• Format: Article
• Language: English
• ISSN: 0009-7322; 1524-4539

IntroductionAppropriate Use Criteria (AUC) were published in 2014 to help clinicians determine the need for echocardiograms in an outpatient setting. One hundred thirteen indications were identified based on common clinical scenarios. A separate, independent rating panel evaluated each indication using a scoring scale of 1 to 9, thereby designating each indication as “Appropriate” (A, median score 7 to 9), “May Be Appropriate” (M, median score 4 to 6), or “Rarely Appropriate” (R, median score 1 to 3). Fifty-three indications were identified as Appropriate, 28 as May Be Appropriate, and 32 as Rarely Appropriate.Objectives1. To determine the yield of echo for indications that meet three different sets of criteria, before the publication of AUC; 2. To identify the predictors and reasons of an abnormal echo among the patients falling into 3 different criteria (A, M, R).MethodsThis was a descriptive chart review of 581 patients who had their first echocardiogram for various indications during the years 2011-2014. Results were analyzed by Pearson’s chi-square test.ResultsThe overall yield was 10%. Female gender (23.1%) had the higher overall yield compared to male (8.8%) (p=0.002). Yield for the A criteria was 15.4%, for M criteria was 8.5%, and for R criteria was 5.4% (p=0.001). Patients ages zero-3 months (67.6%) and 4-11 months (66.7%) had the highest yields in the A criteria group with a yield of 1.5% in the 12-18 years age group (p