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Targeted neonatal echocardiography service in neonatal intensive care in Manitoba, Canada

Journal of Perinatology volume 42, pages 655–659 (2022)Cite this article

Subjects

Abstract

Objective

To evaluate the impact of a targeted neonatal echocardiography (TNE) service on patient management in the neonatal intensive care units (NICU) in Winnipeg, Canada.

Study design

Retrospective cohort study of neonates who had TNEs from 2014 to 2019. The primary outcome was the change in clinical management based on TNE recommendation. Multivariate logistic regression analysis was used to identify predictors of the primary outcome.

Results

A total of 747 echos were performed on 307 neonates. Patent ductus arteriosus assessment was the most common indication for TNE followed by evaluation of pulmonary hypertension and systemic hemodynamics. TNE led to a change in clinical management following 492 (66%) echos. Mechanical ventilation [Odds ratio (OR) 2.4, 95% CI: 1.7–3.4, P < 0.001) and receiving inhaled nitric oxide (1.9, 95% CI: 1.3−3.0, P = 0.003) were the predictors for the change in clinical management following TNE.

Conclusion

TNE has enhanced patient care by altering the management of patients in the NICU.

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Fig. 1: Indication, timing, and the number of TNEs per neonate over the study period.
Fig. 2: TNE indications over the study period.
Fig. 3

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References

  1. Sehgal A, Osborn D, McNamara PJ. Cardiovascular support in preterm infants: a survey of practices in Australia and New Zealand. J Paediatr Child Health. 2012;48:317–23.

    Article  Google Scholar 

  2. El-Khuffash A, Herbozo C, Jain A, Lapointe A, McNamara PJ. Targeted neonatal echocardiography (TnECHO) service in a Canadian neonatal intensive care unit: a 4-year experience. J Perinatol. 2013;33:687–90.

    Article  CAS  Google Scholar 

  3. Papadhima I, Louis D, Purna J, Deshpande P, Diambomba Y, Lee S. et al. Targeted neonatal echocardiography (TNE) consult service in a large tertiary perinatal center in Canada. J Perinatol. 2018;38:1039–45.

    Article  Google Scholar 

  4. Harabor A, Soraisham AS. Utility of targeted neonatal echocardiography in the management of neonatal illness. J Ultrasound Med. 2015;34:1259–63.

    Article  Google Scholar 

  5. De Boode WP, van der Lee R, Horsberg Eriksen B, Nestaas E, Dempsey E, Singh Y. et al. The role of neonatologist performed echocardiography in the assessment and management of neonatal shock. Pediatr Res. 2018;84:57–67.

    Article  Google Scholar 

  6. Mertens L, Seri I, Marek J, Arlettaz R, Barker P, McNamara P. et al. Targeted neonatal echocardiography in the neonatal intensive care unit: practice guidelines and recommendations for training. Writing Group of the American Society of Echocardiography (ASE) in collaboration with the European Association of Echocardiography (EAE) and the Association for European Pediatric Cardiologists (AEPC). J Am Soc Echocardiogr. 2011;24:1057–78.

    Article  Google Scholar 

  7. Sehgal A, Mehta S, Evans N, McNamara PJ. Cardiac sonography by the neonatologist: clinical usefulness and educational perspective. J Ultrasound Med. 2014;33:1401–6.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Section of Neonatology, Department of Pediatrics and Child Health, Rady Faculty of Medicine, University of Manitoba, Winnipeg, Canada

    Deima Alammary, Michael Narvey, Yasser Elsayed & Deepak Louis

  2. Division of Pediatric Cardiology, Department of Pediatrics and Child Health, Rady Faculty of Medicine, University of Manitoba, Winnipeg, Canada

    Reeni Soni

Authors
  1. Deima Alammary
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  2. Michael Narvey
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  3. Reeni Soni
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  4. Yasser Elsayed
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  5. Deepak Louis
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Contributions

DA was responsible for writing the study protocol, doing the data collection, analysis, and writing the first draft of the manuscript. YE contributed to interpreting the results and reviewing the manuscript. MN contributed to reviewing the manuscript. RS contributed to interpreting the results and reviewing the manuscript. DL was responsible for designing and supervising the study, analyzing the data, and reviewing the manuscript.

Corresponding author

Correspondence to Deepak Louis.

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The authors declare no competing interests.

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Alammary, D., Narvey, M., Soni, R. et al. Targeted neonatal echocardiography service in neonatal intensive care in Manitoba, Canada. J Perinatol 42, 655–659 (2022). https://doi.org/10.1038/s41372-021-01258-5

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  • DOI: https://doi.org/10.1038/s41372-021-01258-5

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