ArticlePediatric cardiology2011
Accuracy of cardiac auscultation in asymptomatic neonates with heart murmurs: comparison between pediatric trainees and neonatologists.
Article in Pediatric cardiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- Congenital heart disease diagnosed with echocardiogram in newborns with asymptomatic cardiac murmurs: a systematic review.BMC pediatrics · 2020Pooled it
- Management of asymptomatic cardiac murmurs in term neonates.Pediatric cardiology · 2013Pooled it
- Diagnostic value of pulse oximetry combined with cardiac auscultation in screening congenital heart disease in neonates.The Journal of international medical research · 2021Article
- Neonatal heart murmur: is it useful for the diagnosis of congenital heart diseases?World journal of pediatrics : WJP · 2014Article
Corrections and comments
- Erratum issuedAgeliki, Karatza A [corrected to Karatza, Ageliki A]; Sotirios, Fouzas [corrected to Fouzas, Sotirios]; Sotirios, Tzifas [corrected to Tzifas, Sotirios]; Alexandra, Mermiga [corrected to Mermiga, Alexandra]; Gabriel, Dimitriou [corrected to Dimitriou, Gabr
Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to assess whether cardiac auscultation performed by pediatric trainees and neonatologists can reliably distinguish innocent from pathologic heart murmurs in asymptomatic neonates. From January 2008 to April 2009 the pediatric trainees of our institution were requested to refer all asymptomatic neonates with a murmur and classify the murmurs as "innocent," "pathologic," or "possibly pathologic." Prior to echocardiography, each neonate was evaluated by two experienced neonatologists. The echocardiographic studies of 169 neonates were analyzed. Abnormal cardiac anatomy was found in 55 neonates (32.6%). The overall ability of pediatric trainees in identifying congenital heart disease (CHD) was moderate [area under the curve (AUC) = 0.855] and significantly lower compared to neonatologists (AUC = 0.919, p = 0.007). However, at "lower" levels of clinical confidence (i.e., clinical diagnosis of possibly pathologic murmurs), pediatric trainees had good ability in excluding CHD (sensitivity 94.6%; negative likelihood ratio = 0.09). The ability of cardiac auscultation for diagnosing CHD in asymptomatic neonates is limited and dependent on the physician's experience and level of clinical confidence. Echocardiography should remain an option for all neonates with a possibly pathologic murmur.
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Registered trials
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