Title |
Pre-participation cardiovascular screening: is community screening using hand-held cardiac ultrasound feasible?
|
---|---|
Published in |
Echo Research & Practice, June 2015
|
DOI | 10.1530/erp-15-0010 |
Pubmed ID | |
Authors |
A. R. J. Mitchell, R. Hurry, P. Le Page, H. MacLachlan |
Abstract |
We evaluated the feasibility and costs of utilising hand-held cardiac ultrasound (HHCU) as part of a community-based pre-participation cardiovascular screening programme. Ninety-seven school children were screened using a personal history, a physical examination, a resting 12-lead electrocardiogram (ECG) and a HHCU. A consultant cardiologist independently reviewed and reported the data. Previously undiagnosed cardiovascular abnormalities were identified in nine participants (9%). An additional three participants (3%) were diagnosed with hypertension. The nine abnormalities were identified at a cost of £460 per finding, with a cost of £43 per participant screened. The marginal cost of adding a HHCU to the personal history, physical examination and ECG was £16 per participant. Pre-participation screening in the community using hand-held echocardiography is practical and inexpensive. The additional sensitivity and specificity provided by the ultrasound may enhance screening programmes, thereby reducing false positives and the need for expensive follow-up testing. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Kenya | 1 | 7% |
Colombia | 1 | 7% |
Argentina | 1 | 7% |
Venezuela, Bolivarian Republic of | 1 | 7% |
United States | 1 | 7% |
Australia | 1 | 7% |
United Kingdom | 1 | 7% |
Malaysia | 1 | 7% |
Jersey | 1 | 7% |
Other | 1 | 7% |
Unknown | 4 | 29% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 9 | 64% |
Practitioners (doctors, other healthcare professionals) | 3 | 21% |
Science communicators (journalists, bloggers, editors) | 1 | 7% |
Scientists | 1 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 3% |
South Africa | 1 | 3% |
Unknown | 27 | 93% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Doctoral Student | 6 | 21% |
Student > Postgraduate | 6 | 21% |
Student > Master | 4 | 14% |
Other | 3 | 10% |
Researcher | 3 | 10% |
Other | 3 | 10% |
Unknown | 4 | 14% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 18 | 62% |
Nursing and Health Professions | 2 | 7% |
Agricultural and Biological Sciences | 1 | 3% |
Sports and Recreations | 1 | 3% |
Economics, Econometrics and Finance | 1 | 3% |
Other | 2 | 7% |
Unknown | 4 | 14% |