Journal article
Bridging the Cardiac Needs of a Large, Underserved Immigrant and Resettled Refugee Population
The Journal of pediatrics, Vol.219, pp.83-88
04/2020
DOI: 10.1016/j.jpeds.2019.12.022
PMID: 31987651
Abstract
To describe a monthly outreach pediatric cardiology clinic established to better understand the cardiac needs of immigrant/resettled refugee children.
Data obtained between 2014 and 2017 from a monthly pediatric cardiology clinic at a Federally Qualified Health Center were analyzed using descriptive statistics.
A total of 366 patients (222 male, 61%) were evaluated. Indications for referral included murmur (242, 66%), nonexertional symptoms (31, 9%), exertional symptoms (16, 4%), history of cardiac surgery/transcatheter interventions (15, 4%), previous diagnosis of heart conditions without intervention (13, 4%), arrhythmia/bradycardia (13, 4%), and others (36, 10%). Echocardiograms were performed on 136 patients (67 were abnormal, 49%). The most common final diagnoses include innocent murmur in 201 (55%), simple congenital heart disease in 61 (16%), complex congenital heart disease in 3 (1%), and acquired heart disease in 3 (1%). A total of 15 patients (4%) were ultimately determined to require surgical or cardiac catherization as an intervention. Patients have been followed for a median of 0.7 years (range 0-3.3 years).
Rates of abnormal echocardiograms suggest a greater likelihood of congenital or acquired heart disease at time of initial consultation compared with nonimmigrant/refugee populations. The most common indication for referral to the outreach pediatric cardiology clinic was a murmur. Collaborative efforts between physicians and support services are essential in assisting this vulnerable population access pediatric subspecialty care.
Details
- Title: Subtitle
- Bridging the Cardiac Needs of a Large, Underserved Immigrant and Resettled Refugee Population
- Creators
- Hitesh Agrawal - University of Tennessee Health Science CenterGunjan Dokania - Le Bonheur Children's HospitalHugh D. Allen - Texas Children's HospitalStephanie Acosta - University of Iowa, Stead Family Department of PediatricsAndrea Caracostis - HOPE ClinicLuke M. Havemann - Texas Children's HospitalAnna Lara - Ochsner Health SystemAlan F. Riley - Texas Children's HospitalThomas J. Seery - Children's Hospital of Pittsburgh
- Resource Type
- Journal article
- Publication Details
- The Journal of pediatrics, Vol.219, pp.83-88
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jpeds.2019.12.022
- PMID
- 31987651
- ISSN
- 0022-3476
- eISSN
- 1097-6833
- Language
- English
- Date published
- 04/2020
- Academic Unit
- Cardiology; Stead Family Department of Pediatrics
- Record Identifier
- 9984631051302771
Metrics
13 Record Views