Serial Echocardiographic Follow-up of Structural Heart Interventions Performed During Pacific Partnership Interventional Cardiology Subject Matter Exchanges From 2015 to 2017 in Da Nang, Vietnam.
Introduction: The U.S. Navy Medicine has a long history of conducting global health missions that foster international diplomacy through medical knowledge exchange with a goal of increasing partner nation's health care capacity. Pacific Partnership is an annual U.S. Navy-sponsored joint operation th...
| Publicado en: | Military Medicine Vol. 186; pp. 833 - 839 |
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| Autores principales: | , , , , , , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Oxford University Press / USA
2021 Supplement
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148634955&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148634955 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00264075 4DV jtl: Military Medicine issn: 00264075 maglogo: N pubinfo: dt: 2021 Supplement vid: 186 pid: 622 pub: Oxford University Press / USA artinfo: ui: 148634955 148634955 NLM33499520 10.1093/milmed/usaa499 NLM33499520 148634955 ppf: 833 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Serial Echocardiographic Follow-up of Structural Heart Interventions Performed During Pacific Partnership Interventional Cardiology Subject Matter Exchanges From 2015 to 2017 in Da Nang, Vietnam. aug: au: Nayak, Keshav R. Nguyen Ba Trieu O’Dell, Jeffrey Kendall, Shellie Stanton, Kelly Nguyen Huu Thanh Han Krause, David Wessman, Dylan Lopez, Joseph Phi-Lee, Trong Adams, David Parrish, J. Scott Nguyen LanHieu Trieu, Nguyen Ba O'Dell, Jeffrey Thanh Han, Nguyen Huu LanHieu, Nguyen affil: Department of Cardiology, Naval Medical Center San Diego, San Diego, CA 92134, USA. sug: subj: Cardiology Ductus Arteriosus, Patent Treatment Outcomes Child, Preschool Middle Age Heart Septal Defects, Atrial Surgery Young Adult Adolescence Prospective Studies Adult Vietnam Aged Child Echocardiography Heart Catheterization Short Portable Mental Status Questionnaire Scales Ferrans and Powers Quality of Life Index Questionnaires Child, Preschool: 2-5 years Middle Aged: 45-64 years Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Child: 6-12 years ab: Introduction: The U.S. Navy Medicine has a long history of conducting global health missions that foster international diplomacy through medical knowledge exchange with a goal of increasing partner nation's health care capacity. Pacific Partnership is an annual U.S. Navy-sponsored joint operation that enhances medical collaboration with participating nations throughout the Indo-Asia-Pacific region. Since 2015, a U.S. Navy Cardiology team has conducted a structural heart disease interventional workshop focused on congenital heart disease with the cardiologists at the Da Nang General Hospital, Da Nang, Vietnam. Herein, we describe the multinational collaborative project including the patient registry we developed to monitor the short- and long-term outcomes of structural heart disease interventions preformed during Pacific Partnership 2015 and 2016.Materials and Methods: Our team developed a sustainable procedural registry with the goal of following the long-term outcomes of cardiac interventions for congenital heart disease in Vietnamese patients. Specifically, the registry was designed to record the changes in symptoms referable to the cardiovascular system and for device placement-associated complications for devices placed in 2015 and 2016 and has been updated annually thereafter.Results: Twelve patients (age range, 7 months to 31 years) underwent successful atrial septal defect closure in 2015 without procedural complications. The follow-up rate was 75% at 1 year and 67% at 2 years, and all devices were in appropriate position with no complications identified. Fifteen patients (age range, 20-66 years) underwent successful atrial septal defect closure in 2016. The follow-up rate was 62.5% at 1 year, and all devices were in appropriate position with no complications identified. Three patients (age range, 5-25 months) underwent successful device closure of the patent ductus arteriosus in 2015 without complications. The follow-up rate was 67% in 2016 and again in 2017. Six patients (age range, 9-74 years) underwent successful patent ductus arteriosus closure in 2016 without complications. The follow-up rate was 67% in 2017, and all devices were in appropriate position with no device-related complications identified.Conclusions: The development of a patient registry during these missions allowed for the longitudinal monitoring of outcomes for cardiac interventions. Notably, treated patients experienced symptomatic improvement without significant long-term procedural complications. Following patients longitudinally across medical missions is of recognized importance but remains a difficult objective to achieve for a multitude of factors including administrative and financial burdens on both the medical systems and the patients of host nations. Despite these limitations, longitudinal follow-up of patient care facilitated by a patient registry has a vital role in monitoring the quality of care provided and should be an integral part of all future global medical missions. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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