Related Experiment Video

Updated: Jun 26, 2025

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
04:55

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model

Published on: May 26, 2023

765

The paucity of high-level evidence for therapy in pediatric cardiology

Emily Littman1, Diana Hsiao1, Kanekal S Gautham1,2

  • 1Department of Medicine, University of Central Florida College of Medicine, Orlando, FL, USA.

Annals of Pediatric Cardiology
|May 20, 2024
PubMed

Insights

In 2021, most pediatric cardiology studies offered low scientific evidence. There is a critical need for more high-level evidence research in pediatric cardiology to improve clinical practice.

Area of Science:

  • Cardiology
  • Pediatrics
  • Evidence-Based Medicine

Background:

  • Clinical practice relies on high-quality evidence.
  • Assessing the evidence level in pediatric cardiology publications is crucial.

Purpose of the Study:

  • To classify publications in pediatric cardiology by evidence level in 2021.
  • To identify trends in study design and evidence quality.

Main Methods:

  • PubMed search for pediatric cardiology articles published in 2021.
  • Categorization of studies by evidence level (low, medium, high) based on study design.
  • Comparison of randomized control trials (RCTs) with neonatology and adult cardiology.

Main Results:

  • 731 studies were identified; 50.1% were low evidence, 44.2% medium, and 5.8% high.
  • Low-level evidence predominated across all cardiac disease types and treatments.
  • Most high-level evidence studies originated from the USA, China, and India.

Conclusions:

  • Pediatric cardiology research in 2021 was predominantly based on low-level evidence.
  • There is a significant need for more high-level evidence studies in pediatric cardiology.
  • Improving evidence quality is essential for advancing clinical practice in the field.
Abstract

Keywords:
Levels of evidencepediatric cardiologyrandomized control trialsreview of literature

More Related Videos

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

6.2K
Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography09:31

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography

Published on: January 27, 2023

914

Related Concept Videos

Family Therapy01:30

Family Therapy

Family therapy conceptualizes psychological challenges as arising from dysfunctional interactions within the family unit, rather than as isolated issues within individuals. This approach seeks to address and transform the patterns of communication, roles, and relationships within families to promote healthier dynamics and emotional well-being for all members.
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
45
Elements Crucial for Effective Psychotherapy01:25

Elements Crucial for Effective Psychotherapy

Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
41
Modeling in Therapy01:26

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
70
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers01:26

Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers

Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
157
Psychotherapy01:28

Psychotherapy

Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
104
Electroconvulsive Therapy01:30

Electroconvulsive Therapy

Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
36