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Pilot study of nurse-led rheumatic heart disease echocardiography screening in Fiji - a novel approach in a resource-poor setting

Colquhoun, Samantha M., Carapetis, Jonathan R., Kado, Joseph, Reeves, Benjamin, Remenyi, Bo, May, William, Wilson, Nigel and Steer, Andrew (2012). Pilot study of nurse-led rheumatic heart disease echocardiography screening in Fiji - a novel approach in a resource-poor setting. Cardiology in the Young,23(4):546-552.

Document type: Journal Article
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IRMA ID cmartelxPUB56
Title Pilot study of nurse-led rheumatic heart disease echocardiography screening in Fiji - a novel approach in a resource-poor setting
Author Colquhoun, Samantha M.
Carapetis, Jonathan R.
Kado, Joseph
Reeves, Benjamin
Remenyi, Bo
May, William
Wilson, Nigel
Steer, Andrew
Journal Name Cardiology in the Young
Publication Date 2012
Volume Number 23
Issue Number 4
ISSN 1047-9511   (check CDU catalogue  open catalogue search in new window)
Start Page 546
End Page 552
Total Pages 7
Place of Publication United Kingdom
Publisher Cambridge University Press
HERDC Category C1 - Journal Article (DIISR)
Abstract We designed a pilot study of a training module for nurses to perform rheumatic heart disease echocardiography screening in a resource-poor setting. The aim was to determine whether nurses given brief, focused, basic training in echocardiography could follow an algorithm to potentially identify cases of rheumatic heart disease requiring clinical referral, by undertaking basic two-dimensional and colour Doppler scans. Training consisted of a week-long workshop, followed by 2 weeks of supervised field experience. The nurses’ skills were tested on a blinded cohort of 50 children, and the results were compared for sensitivity and specificity against echocardiography undertaken by an expert, using standardised echocardiography definitions for definite and probable rheumatic heart disease. Analysis of the two nurses’ results revealed that when a mitral regurgitant jet length of 1.5 cm was used as the trigger for rheumatic heart disease identification, they had a sensitivity of 100% and 83%, respectively, and a specificity of 67.4% and 79%, respectively. This pilot supports the principle that nurses, given brief focused training and supervised field experience, can follow an algorithm to undertake rheumatic heart disease echocardiography in a developing country setting to facilitate clinical referral with reasonable accuracy. These results warrant further research, with a view to developing a module to guide rheumatic heart disease echocardiographic screening by nurses within the existing public health infrastructure in high-prevalence, resource-poor regions.
Keywords Developing countries
screening
public health
DOI http://dx.doi.org/tp://dx.doi.org/10.1017/S1047951112001321   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes Copyright © Cambridge University Press 2012


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