FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4386989272> ?p ?o ?g. }

• W4386989272 endingPage "e3" @default.
• W4386989272 startingPage "e2" @default.
• W4386989272 abstract "Abstract Background In 2017, it was recognized that there was significant variation in the management and follow-up of Kawasaki disease (KD) at our institution, resulting in inefficient use of hospital resources and patient confusion. A multidisciplinary team from cardiology, rheumatology, emergency medicine, infectious diseases (ID), and general paediatrics created a standardized protocol distributed on October 10th, 2019. With the evolution of multisystem inflammatory syndrome in children associated with SARS-COVID 19 (MISC), we expanded our protocol in December 2021 to include a 1-week follow-up echocardiogram (echo). Objectives It has been 3 years since the KD standardized protocol was implemented. As a result, we seek to evaluate its effectiveness in improving patient care, specifically in the patients with normal coronary arteries. Design/Methods We reviewed the cardiology echo database to define patients who had an echo performed for KD (January 1, 2020-August 17, 2022). These patients were reviewed in the electronic hospital record to define those with a discharge diagnosis of KD. Results Of the 138 patients defined, 47 patients were discharged with KD; normal coronary arteries (N=38) were seen in 81% (38/47). Classic KD: 47% (18/38); incomplete KD: 53% (20/38); 13% (5/38) were diagnosed with both MISC and KD. Average age: 3.4 years (3 months to 9.5 years). We observed that rheumatology was consulted in 89% (34/38), cardiology in 100%, and ID in 50% (19/38). All patients were treated with low-dose acetylsalicylic acid (38/38), and the majority were treated with intravenous immunoglobulin, 92% (35/38). Some patients were treated with steroids, 26% (10/38). Average length of stay: 4.8 days (1-18 days). Twenty-one patients were seen from when we initiated performing a 1-week echo. In addition to the existing protocol, 24% (5/21) of cases missed having a 1-week follow-up echo because the cardiologist was not aware of the practice. Eighty-nine% (34/38) had their 6-week follow-up echo and follow-up in the post-hospitalization clinic (PHC) at the appropriate time. Patients were incorrectly scheduled to see the cardiologist in 13% (5/38) and the PHC in 3% (1/38) cases. Conclusion With the implementation of a standardized management and follow-up protocol for KD, our patients are now guaranteed follow-up with access to effective patient-centred care in a streamlined manner that targets appropriate use of resources. A satisfaction survey should be performed to inquire if families are pleased with this process." @default.
• W4386989272 created "2023-09-24" @default.
• W4386989272 creator A5028005603 @default.
• W4386989272 creator A5038417148 @default.
• W4386989272 creator A5057405253 @default.
• W4386989272 creator A5074587327 @default.
• W4386989272 creator A5091554439 @default.
• W4386989272 date "2023-09-01" @default.
• W4386989272 modified "2023-10-18" @default.
• W4386989272 title "6 Evaluation of a Standardized Kawasaki Disease Protocol for Management and Follow-Up" @default.
• W4386989272 doi "https://doi.org/10.1093/pch/pxad055.006" @default.
• W4386989272 hasPublicationYear "2023" @default.
• W4386989272 type Work @default.
• W4386989272 citedByCount "0" @default.
• W4386989272 crossrefType "journal-article" @default.
• W4386989272 hasAuthorship W4386989272A5028005603 @default.
• W4386989272 hasAuthorship W4386989272A5038417148 @default.
• W4386989272 hasAuthorship W4386989272A5057405253 @default.
• W4386989272 hasAuthorship W4386989272A5074587327 @default.
• W4386989272 hasAuthorship W4386989272A5091554439 @default.
• W4386989272 hasBestOaLocation W43869892721 @default.
• W4386989272 hasConcept C11171543 @default.
• W4386989272 hasConcept C126322002 @default.
• W4386989272 hasConcept C15744967 @default.
• W4386989272 hasConcept C164705383 @default.
• W4386989272 hasConcept C187212893 @default.
• W4386989272 hasConcept C198451711 @default.
• W4386989272 hasConcept C2776820930 @default.
• W4386989272 hasConcept C2777698277 @default.
• W4386989272 hasConcept C2778742706 @default.
• W4386989272 hasConcept C2781140086 @default.
• W4386989272 hasConcept C2781423770 @default.
• W4386989272 hasConcept C500558357 @default.
• W4386989272 hasConcept C71924100 @default.
• W4386989272 hasConceptScore W4386989272C11171543 @default.
• W4386989272 hasConceptScore W4386989272C126322002 @default.
• W4386989272 hasConceptScore W4386989272C15744967 @default.
• W4386989272 hasConceptScore W4386989272C164705383 @default.
• W4386989272 hasConceptScore W4386989272C187212893 @default.
• W4386989272 hasConceptScore W4386989272C198451711 @default.
• W4386989272 hasConceptScore W4386989272C2776820930 @default.
• W4386989272 hasConceptScore W4386989272C2777698277 @default.
• W4386989272 hasConceptScore W4386989272C2778742706 @default.
• W4386989272 hasConceptScore W4386989272C2781140086 @default.
• W4386989272 hasConceptScore W4386989272C2781423770 @default.
• W4386989272 hasConceptScore W4386989272C500558357 @default.
• W4386989272 hasConceptScore W4386989272C71924100 @default.
• W4386989272 hasIssue "Supplement_1" @default.
• W4386989272 hasLocation W43869892721 @default.
• W4386989272 hasOpenAccess W4386989272 @default.
• W4386989272 hasPrimaryLocation W43869892721 @default.
• W4386989272 hasRelatedWork W1854266511 @default.
• W4386989272 hasRelatedWork W1978256344 @default.
• W4386989272 hasRelatedWork W2051966786 @default.
• W4386989272 hasRelatedWork W2077546997 @default.
• W4386989272 hasRelatedWork W2326030794 @default.
• W4386989272 hasRelatedWork W2418648843 @default.
• W4386989272 hasRelatedWork W2517030025 @default.
• W4386989272 hasRelatedWork W2616919876 @default.
• W4386989272 hasRelatedWork W3032109640 @default.
• W4386989272 hasRelatedWork W3152404902 @default.
• W4386989272 hasVolume "28" @default.
• W4386989272 isParatext "false" @default.
• W4386989272 isRetracted "false" @default.
• W4386989272 workType "article" @default.