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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/54847
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dc.creatorAndreabeatonpt_BR
dc.creatorLuciana C.x. Lafetapt_BR
dc.creatorHedda Richardspt_BR
dc.creatorLindsay Perlmanpt_BR
dc.creatorCatherine l. Webbpt_BR
dc.creatorAntonio Luiz Pinho Ribeiropt_BR
dc.creatorCraig Sablept_BR
dc.creatorMaria do Carmo p. Nunespt_BR
dc.creatorBruno r. Nascimentopt_BR
dc.creatorAdriana c. Diamantinopt_BR
dc.creatorGabriel T.r. Pereirapt_BR
dc.creatorEduardo L.v. Lopespt_BR
dc.creatorCassio o. Miript_BR
dc.creatorKaciane K.o. Brunopt_BR
dc.creatorGraziela Chequerpt_BR
dc.creatorCamila g. Ferreirapt_BR
dc.date.accessioned2023-06-12T20:58:38Z-
dc.date.available2023-06-12T20:58:38Z-
dc.date.issued2016-
dc.citation.volumeEpubpt_BR
dc.citation.spage1785pt_BR
dc.citation.epage1789pt_BR
dc.identifier.doi10.1016/j.amjcard.2016.03.006pt_BR
dc.identifier.issn00029149pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/54847-
dc.description.resumoThe ability to integrate echocardiographic for rheumatic heart disease (RHD) into RHD prevention programs is limited because of lack of financial and expert human resources in endemic areas. Task shifting to nonexperts is promising; but investigations into workforce composition and training schemes are needed. The objective of this study was to test nonexperts' ability to interpret RHD screening echocardiograms after a brief, standardized, computer-based training course. Six nonexperts completed a 3-week curriculum on image interpretation. Participant performance was tested in a school-screening environment in comparison to the reference approach (cardiologists, standard portable echocardiography machines, and 2012 World Heart Federation criteria). All participants successfully completed the curriculum, and feedback was universally positive. Screening was performed in 1,381 children (5 to 18 years, 60% female), with 397 (47 borderline RHD, 6 definite RHD, 336 normal, and 8 other) referred for handheld echo. Overall sensitivity of the simplified approach was 83% (95% CI 76% to 89%), with an overall specificity of 85% (95% CI 82% to 87%). The most common reasons for false-negative screens (n = 16) were missed mitral regurgitation (MR; 44%) and MR ≤1.5 cm (29%). The most common reasons for false-positive screens (n = 179) included identification of erroneous color jets (25%), incorrect MR measurement (24%), and appropriate application of simplified guidelines (39.4%). In conclusion, a short, independent computer-based curriculum can be successfully used to train a heterogeneous group of nonexperts to interpret RHD screening echocardiograms. This approach helps address prohibitive financial and workforce barriers to widespread RHD screening.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofThe American Journal of Cardiology-
dc.rightsAcesso Restritopt_BR
dc.subjectValvopatiaspt_BR
dc.subjectEcocardiografiapt_BR
dc.subjectCardiopatia Reumáticapt_BR
dc.subject.otherCardiopatia Reumáticapt_BR
dc.subject.otherValvopatia Aórticapt_BR
dc.subject.otherEcocardiografiapt_BR
dc.titleEfficacy of a standardized computer-based training curriculum to teach echocardiographic identification of rheumatic heart disease to non-expert userspt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.sciencedirect.com/science/article/pii/S0002914916303526?via%3Dihubpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-7539-4994pt_BR
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