Electrocardiogram interpretation among pediatricians: Assessing knowledge, attitudes, and practice

Ebrahim, Mohammad A.; Alseid, Reem K.; Aleinati, Raghad; Tuzcu, Volkan

Electrocardiogram interpretation among pediatricians: Assessing knowledge, attitudes, and practice

dc.authorid	0000-0001-9008-4997
dc.contributor.author	Ebrahim, Mohammad A.
dc.contributor.author	Alseid, Reem K.
dc.contributor.author	Aleinati, Raghad
dc.contributor.author	Tuzcu, Volkan
dc.date.accessioned	2020-10-21T08:17:17Z
dc.date.available	2020-10-21T08:17:17Z
dc.date.issued	2020
dc.department	İstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstract	Objectives: This study assesses the competency of pediatricians in interpreting electrocardiograms (ECGs).Methods: A cross-sectional study involving 125 pediatricians comprised of 71 general pediatricians, 15 pediatric cardiologists, and 39 other subspecialists recruited from all public hospitals and two specialty centers. Participants completed a questionnaire that included 10 ECGs and questions regarding backgrounds, attitudes, and practices. The ECGs were graded to obtain a knowledge score out of 30 points. Mann-Whitney U test and Kruskal-Wallis test with post hoc analysis and Bonferroni adjustment were used to compare groups.Results: The mean knowledge score ranged from 47.7% to 69.7% among various pediatric specialties (P = 0.006). Age, increasing years of experience, confidence level, number of cardiology referrals, and perceived importance of having good ECG interpretation skills were significantly related to the knowledge score (P = 0.05). Accuracy was highest in identifying normal ECGs (76.8%), supraventricular tachycardia (64.8%), along with long QT interval (58.4%), and was lowest for right bundle branch block (RBBB) (10.4%), 2:1 atrioventricular conduction (10.4%), and atrial tachycardia (AT) (4.8%). Accuracy among pediatric cardiologists was highest for long QT interval (100%), normal ECG (80%), as well as Wolff-Parkinson-White syndrome (80%), and lowest for RBBB (13.3%) and AT (0%). Most pediatricians believe that ECGs are "useful" (78.4%) and that having good interpretation skill is "important" (80.6%).Conclusions: Pediatricians recognize the importance of ECGs. However, their skill and level of accuracy at interpretation is suboptimal, including cardiologists, and may affect patient care. Thus, efforts should be made to improve ECG understanding to provide better service to patients.
dc.identifier.citation	Ebrahim, M. A., Alseid, R. K., Aleinati, R. ve Tuzcu, V. (2020). Electrocardiogram interpretation among pediatricians: Assessing knowledge, attitudes, and practice. Annals of Pediatric Cardiology, 13(3), 205-211. https://dx.doi.org/10.4103/apc.APC_18_20
dc.identifier.doi	10.4103/apc.APC_18_20
dc.identifier.endpage	211
dc.identifier.issn	0974-2069
dc.identifier.issn	0974-5149
dc.identifier.issue	3
dc.identifier.scopusquality	Q3
dc.identifier.startpage	205
dc.identifier.uri	https://dx.doi.org/10.4103/apc.APC_18_20
dc.identifier.uri	https://hdl.handle.net/20.500.12511/5949
dc.identifier.volume	13
dc.identifier.wosquality	N/A
dc.indekslendigikaynak	Web of Science
dc.indekslendigikaynak	Scopus
dc.indekslendigikaynak	PubMed
dc.language.iso	en
dc.publisher	Wolters Kluwer Medknow Publications
dc.relation.ispartof	Annals of Pediatric Cardiology	en_US
dc.relation.publicationcategory	Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rights	Attribution-NonCommercial-ShareAlike 4.0 International	*
dc.rights	info:eu-repo/semantics/openAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-sa/4.0/	*
dc.subject	Electrocardiogram
dc.subject	Interpretation
dc.subject	Pediatric Cardiologists
dc.subject	Pediatrician
dc.title	Electrocardiogram interpretation among pediatricians: Assessing knowledge, attitudes, and practice
dc.type	Article