在患有注意力缺陷多动障碍的儿童中,药物管理和心电图查
Michaela Pentony1, Zainab Ali2, Kieran Moore2
1Department of Paediatric Cardiology, Children's Health Ireland at Crumlin, Crumlin, Ireland.
Cardiology in the young
|September 13, 2024
概括
儿童开始注意力缺陷多动症 (ADHD) 药物治疗的常规心脏查往往缺乏临床适用性,导致延迟. 坚持国家卫生和护理卓越研究所的指导方针可以优化护理和资源.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 神经发育障碍 神经发育障碍
- 临床审计 临床审计
背景情况:
- 对于患有注意力缺陷多动症障碍 (ADHD) 的儿童来说,心脏查转诊是常见的. 开始或修改药物治疗是常见的.
- 这些转诊的比例和临床显著异常的检测率需要量化.
研究的目的:
- 为了确定心脏病学转诊的百分比,用于ADHD药物管理.
- 评估这组患者中显著心脏异常的发生率.
主要方法:
- 一个6个月的前性审计 (2021年11月至2022年4月) 的转诊到克鲁姆林心脏病科.
- 转诊者被选为与ADHD药物相关的心脏查,并根据国家卫生和护理卓越研究所 (NICE) 的指导方针进行编码.
- 记录了临床细节,异常和治疗方法.
主要成果:
- 分析了91个转诊病例,58.2%缺乏明确的临床适应症.
- 只有28.5%的人符合心脏病转诊的NICE标准.
- 在80个审查的病例中,90%是正常的;只有1个转诊 (1.25%) 显示出明显的异常,符合NICE指南.
结论:
- 没有临床指示的ADHD药物的不必要心脏查会导致延迟和压力心脏病学资源.
- 为患者和临床医生的利益,建议加强对ADHD转诊的NICE指南的遵守.
- 基于临床症状的有针对性的查比常规的药前检查更有效.
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