6 Evaluation of a Standardized Kawasaki Disease Protocol for Management and Follow-Up
نویسندگان
چکیده
Abstract Background In 2017, it was recognized that there significant variation in the management and follow-up of Kawasaki disease (KD) at our institution, resulting inefficient use hospital resources patient confusion. A multidisciplinary team from cardiology, rheumatology, emergency medicine, infectious diseases (ID), general paediatrics created a standardized protocol distributed on October 10th, 2019. With evolution multisystem inflammatory syndrome children associated with SARS-COVID 19 (MISC), we expanded December 2021 to include 1-week echocardiogram (echo). Objectives It has been 3 years since KD implemented. As result, seek evaluate its effectiveness improving care, specifically patients normal coronary arteries. Design/Methods We reviewed cardiology echo database define who had an performed for (January 1, 2020-August 17, 2022). These were electronic record those discharge diagnosis KD. Results Of 138 defined, 47 discharged KD; arteries (N=38) seen 81% (38/47). Classic KD: 47% (18/38); incomplete 53% (20/38); 13% (5/38) diagnosed both MISC Average age: 3.4 (3 months 9.5 years). observed rheumatology consulted 89% (34/38), 100%, ID 50% (19/38). All treated low-dose acetylsalicylic acid (38/38), majority intravenous immunoglobulin, 92% (35/38). Some steroids, 26% (10/38). length stay: 4.8 days (1-18 days). Twenty-one when initiated performing echo. addition existing protocol, 24% (5/21) cases missed having because cardiologist not aware practice. Eighty-nine% (34/38) their 6-week post-hospitalization clinic (PHC) appropriate time. Patients incorrectly scheduled see PHC 3% (1/38) cases. Conclusion implementation KD, are now guaranteed access effective patient-centred care streamlined manner targets resources. satisfaction survey should be inquire if families pleased this process.
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ژورنال
عنوان ژورنال: Paediatrics and Child Health
سال: 2023
ISSN: ['1751-7222', '1878-206X']
DOI: https://doi.org/10.1093/pch/pxad055.006