PO-03-172 IMPACT OF PEDIATRIC CARDIAC ELECTROPHYSIOLOGIST PARTICIPATION IN DAILY MULTIDISCIPLINARY ROUNDS: A PROSPECTIVE STUDY

Although believed to be integral in the management of children with congenital heart disease (CHD), pediatric cardiac electrophysiologists (EP) do not routinely join care unit (CCU) rounds other than by consultation on individual patients. In our CCU, EP reviews all telemetry CCU over preceding 24 hours and participates daily multidisciplinary rounds. To quantify impact strategy consistent, formalized presence This is a single-center, prospective, observational study participation from 10/20/2021-10/31/2022 dedicated program. were initially blinded observations first half study. Rounds include discussion neonatal ICU, non-CCU An encounter was defined as rounding one patient for day. comments encounters observed rhythm-related diagnoses recommendations about recorded. Two fellowship-trained 215 days encompassing 6413 total encounters. made 581(9.1%) 234 unique patients ages ranging 1 day-70 years old diverse CHD diagnoses. equated median 3[IQR:1-4] per day (Figure), no difference frequency before after blinding (median vs encounters, p=0.932). There 117(50%) which commented just there more 3[IQR:2-4] maximum 22 patient. identified many dysrhythmias, described electrocardiographic findings, or (Table). Of 581 on, 61(10.5%) corrected another physician’s interpretation rhythm electrocardiogram. A recommendation change occurred 282(48.5%) most commonly regarding medications (n=142, 24.4%) pacemaker (n=48, 8.3%). Routine involvement provides significant, frequent, timely input identifying precise allowing nuanced, patient-specific medication patients, those consulted. at vital resource this practice should considered integrated centers.