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Published on: April 21, 2013
Cardiac catheterization in infants and children can be an outpatient procedure
Insights
Pediatric cardiac catheterization can be safely performed on an outpatient basis, reducing anxiety for children and parents. This approach has been successfully implemented for 18 years in a pediatric hospital.
Area of Science:
- Pediatric Cardiology
- Outpatient Procedures
Background:
- Cardiac catheterization is a common procedure in pediatric care.
- Historically, many pediatric cardiac catheterizations were inpatient procedures.
Purpose of the Study:
- To evaluate the feasibility and outcomes of outpatient cardiac catheterization in pediatric patients.
- To assess the safety and benefits of day-case cardiac catheterization in children.
Main Methods:
- Retrospective analysis of cardiac catheterization procedures over 12 years.
- Categorization of procedures into inpatient versus outpatient settings.
- Analysis of patient demographics, including age (infants vs. children over 1 year).
Main Results:
- 1,355 out of 2,133 (63.5%) cardiac catheterizations were performed on an outpatient basis over 12 years.
- 45% of infants under 1 year and 83% of children over 1 year underwent outpatient procedures.
- No significant complications were reported in the outpatient program.
Conclusions:
- Outpatient cardiac catheterization is a safe and effective model for pediatric patients.
- The majority of pediatric cardiac catheterizations, particularly in older children, can be managed on an outpatient basis.
- Outpatient care reduces parental and child anxiety associated with hospitalization.
Abstract:
Many cardiac catheterization procedures in infants and children can be performed on an outpatient basis. This has been the practice in a pediatric hospital for 18 years. Over the last 12 years 1,355 of 2,133 catheterization procedures were performed on an outpatient basis. Excluding newborns, 45 percent of infants under 1 year of age having catheterization procedures were studied as outpatients. After age 1 year, 83 percent of the patients were studied as outpatients. Many of the patients admitted to the hospital would have been suitable for outpatient study. There were no significant complications related to the outpatient program. The main advantage would seem to be a reduction in anxiety concerning the test for children and their parents.
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