Current situation of the organisation, resources and activity in paediatric cardiology in Spain
Por:
Sánchez Ferrer F, Castro García FJ, Pérez-Lescure Picarzo J, Roses Noguer F, Centeno Malfaz F, Grima Murcia MD and Brotons DA
Publicada:
1 feb 2019
Ahead of Print:
26 abr 2018
Categoría:
Pediatrics, perinatology and child health
Resumen:
Introduction: The results are presented on the "current situation of the organisation, resources and activity in paediatric cardiology in Spain". It was promoted by the Spanish Society of Paediatric Cardiology and Congenital Heart disease.
Material and methods: An analysis was carried out on the results obtained from a specifically designed questionnaire, prepared by the Spanish Society of Paediatric Cardiology and Congenital Heart disease, that was sent to all hospitals around the country that offer the speciality of paediatric cardiology.
Results: A total of 86 questionnaires were obtained, including 14 hospitals that perform cardiac surgery on children. A total of 190 paediatric cardiology consultants, 40 cardiac surgeons, and 27 middle grade doctors performing their paediatric residency (MIR program) were identified. All hospitals had adequate equipment to perform an optimal initial evaluation of any child with a possible cardiac abnormality, but only tertiary centres could perform complex diagnostic procedures, interventional cardiology, and cardiac surgery. In almost all units around the country, paediatric cardiology consultants were responsible for outpatient clinics and hospital admissions, whereas foetal cardiology units were still mainly managed by obstetricians. The number of diagnostic and therapeutic procedures was similar to those reported in the first survey, except for a slight decrease in the total number of closed cardiac surgery procedures, and a proportional increase in the number of therapeutic catheterisations.
Conclusions: Paediatric Cardiology in Spain is performed by paediatric cardiology consultants that were trained initially as general paediatricians, and then completed a paediatric cardiology training period. Almost all units have adequate means for diagnosis and treatment. Efforts should be directed to create a national registry that would not only allow a prospective quantification of diagnostic and therapeutic procedures, but also focus on their clinical outcomes. (C) 2017 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L.U.
Filiaciones:
:
Hospital Universitario de San Juan de Alicante, Alicante, España. Grupo de Trabajo de Cardiología Clínica y Registros de la Sociedad Española de Cardiología y Cardiología Pediátrica y Cardiopatías congénitas
Castro García FJ:
Hospital Universitario Virgen de la Arrixaca, Murcia, España. Grupo de Trabajo de Cardiología Clínica y Registros de la Sociedad Española de Cardiología y Cardiología Pediátrica y Cardiopatías congénitas
Pérez-Lescure Picarzo J:
Hospital Universitario Fundación Alcorcón, Madrid, España. Grupo de Trabajo de Cardiología Clínica y Registros de la Sociedad Española de Cardiología y Cardiología Pediátrica y Cardiopatías congénitas
Roses Noguer F:
Hospital Universitario Vall Hebrón, Barcelona, España. Grupo de Trabajo de Cardiología Clínica y Registros de la Sociedad Española de Cardiología y Cardiología Pediátrica y Cardiopatías congénitas
Centeno Malfaz F:
Hospital Universitario Río Ortega, Valladolid, España. Grupo de Trabajo de Cardiología Clínica y Registros de la Sociedad Española de Cardiología y Cardiología Pediátrica y Cardiopatías congénitas
:
Instituto de Bioingeniería, Universidad Miguel Hernández, Alicante, España
Brotons DA:
Hospital Universitario Vall Hebrón, Barcelona, España. Sociedad Española de Cardiología y Cardiología Pediátrica y Cardiopatías congénitas
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