Year : 2015  |  Volume : 8  |  Issue : 2  |  Page : 118--121

Teaching focused echocardiography for rheumatic heart disease screening


Daniel Engelman1, Joseph H Kado2, Bo Reményi3, Samantha M Colquhoun3, Caroline Watson4, Sera C Rayasidamu2, Andrew C Steer5 
1 Department of Paediatrics, Centre for International Child Health, University of Melbourne, Melbourne, Australia
2 Colonial War Memorial Hospital, Suva, Fiji
3 Menzies School of Health Research, Darwin, Australia
4 Royal Berkshire Hospital, Reading, United Kingdom
5 Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne, Australia

Correspondence Address:
Daniel Engelman
General Paediatrician and Research Fellow Centre for International Child Health, University of Melbourne, Royal Children«SQ»s Hospital, 50 Flemington Road, Parkville, Victoria, 3052
Australia

Screening for rheumatic heart disease (RHD) requires workers skilled in echocardiography, which typically involves prolonged, specialized training. Task shifting echocardiographic screening to nonexpert health workers may be a solution in settings with limited human resources. An 8-week training program was designed to train health workers without any prior experience in focused echocardiography for RHD screening. Seven health workers participated. At the completion of training, the health workers performed unsupervised echocardiography on 16 volunteer children with known RHD status. A pediatric cardiologist assessed image quality. Participants provided qualitative feedback. The quality of echocardiograms were high at completion of training (55 of 56 were adequate for diagnosis) and all cases of RHD were identified. Feedback was strongly positive. Training health workers to perform focused echocardiography for RHD screening is feasible. After systematic testing for accuracy, this training program could be adapted in other settings seeking to expand echocardiographic capabilities.


How to cite this article:
Engelman D, Kado JH, Reményi B, Colquhoun SM, Watson C, Rayasidamu SC, Steer AC. Teaching focused echocardiography for rheumatic heart disease screening.Ann Pediatr Card 2015;8:118-121


How to cite this URL:
Engelman D, Kado JH, Reményi B, Colquhoun SM, Watson C, Rayasidamu SC, Steer AC. Teaching focused echocardiography for rheumatic heart disease screening. Ann Pediatr Card [serial online] 2015 [cited 2022 Jan 24 ];8:118-121
Available from: https://www.annalspc.com/article.asp?issn=0974-2069;year=2015;volume=8;issue=2;spage=118;epage=121;aulast=Engelman;type=0