{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T19:44:41Z","timestamp":1791315881098,"version":"4.3.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2016,11,8]],"date-time":"2016-11-08T00:00:00Z","timestamp":1478563200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Cardiol"],"published-print":{"date-parts":[[2017,1]]},"DOI":"10.1007\/s00246-016-1497-1","type":"journal-article","created":{"date-parts":[[2016,11,7]],"date-time":"2016-11-07T23:39:56Z","timestamp":1478561996000},"page":"162-169","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Diagnostic Yield of Outpatient Pediatric Echocardiograms: Impact of Indications and Specialty"],"prefix":"10.1007","volume":"38","author":[{"given":"Sean M.","family":"Lang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elijah","family":"Bolin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Hardy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyu","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"II","given":"R. Thomas","family":"Collins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2016,11,8]]},"reference":[{"key":"1497_CR1","doi-asserted-by":"publisher","first-page":"2039","DOI":"10.1016\/j.jacc.2014.08.003","volume":"64","author":"RM Campbell","year":"2014","unstructured":"Campbell RM, Douglas PS, Eidem BW, Lai WW, Lopez L, Sachdeva R (2014) ACC\/AAP\/AHA\/ASE\/HRS\/SCAI\/SCCT\/SCMR\/SOPE 2014 appropriate use criteria for initial transthoracic echocardiography in outpatient pediatric cardiology: a report of the American College of Cardiology appropriate use criteria task force, American Academy of Pediatrics, American Heart Association, American Society of Echocardiography, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Pediatric Echocardiography. J Am Coll Cardiol 64:2039\u20132060","journal-title":"J Am Coll Cardiol"},{"key":"1497_CR2","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1067\/mpd.2002.127502","volume":"141","author":"MS Yi","year":"2002","unstructured":"Yi MS, Kimball TR, Tsevat J, Mrus JM, Kotagal UR (2002) Evaluation of heart murmurs in children: cost-effectiveness and practical implications. J Pediatr 141:504\u2013511","journal-title":"J Pediatr"},{"key":"1497_CR3","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1542\/peds.2011-0141","volume":"128","author":"KG Friedman","year":"2011","unstructured":"Friedman KG, Kane DA, Rathod RH, Renaud A, Farias M, Geggel R et al (2011) Management of pediatric chest pain using a standardized assessment and management plan. Pediatrics 128:239\u2013245","journal-title":"Pediatrics"},{"key":"1497_CR4","doi-asserted-by":"publisher","first-page":"jah3","DOI":"10.1161\/JAHA.111.000349","volume":"1","author":"GR Verghese","year":"2012","unstructured":"Verghese GR, Friedman KG, Rathod RH, Meiri A, Saleeb SF, Graham DA et al (2012) Resource utilization reduction for evaluation of chest pain in pediatrics using a novel Standardized Clinical Assessment and Management Plan (SCAMP). J Am Heart Assoc 1:jah3\u2013e000349","journal-title":"J Am Heart Assoc"},{"key":"1497_CR5","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1016\/S0002-9149(99)80415-9","volume":"75","author":"CA Sable","year":"1995","unstructured":"Sable CA, Rome JJ, Martin GR, Patel KM, Karr SS (1995) Indications for echocardiography in the diagnosis of infective endocarditis in children. Am J Cardiol 75:801\u2013804","journal-title":"Am J Cardiol"},{"key":"1497_CR6","doi-asserted-by":"publisher","first-page":"159","DOI":"10.2307\/2529310","volume":"33","author":"JR Landis","year":"1977","unstructured":"Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159\u2013174","journal-title":"Biometrics"},{"key":"1497_CR7","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1016\/j.jpeds.2004.10.039","volume":"146","author":"LA Steinberg","year":"2005","unstructured":"Steinberg LA, Knilans TK (2005) Syncope in children: diagnostic tests have a high cost and low yield. J Pediatr 146:355\u2013358","journal-title":"J Pediatr"},{"key":"1497_CR8","doi-asserted-by":"publisher","first-page":"844","DOI":"10.1016\/0002-8703(60)90408-7","volume":"59","author":"DH Fogel","year":"1960","unstructured":"Fogel DH (1960) The innocent systolic murmur in children: a clinical study of its incidence and characteristics. Am Heart J 59:844\u2013855","journal-title":"Am Heart J"},{"key":"1497_CR9","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1001\/archpedi.1996.02170270051007","volume":"150","author":"BW McCrindle","year":"1996","unstructured":"McCrindle BW, Shaffer KM, Kan JS, Zahka KG, Rowe SA, Kidd L (1996) Cardinal clinical signs in the differentiation of heart murmurs in children. Arch Pediatr Adolesc Med 150:169\u2013174","journal-title":"Arch Pediatr Adolesc Med"},{"key":"1497_CR10","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1111\/j.1747-0803.2012.00637.x","volume":"7","author":"D Kwiatkowski","year":"2012","unstructured":"Kwiatkowski D, Wang Y, Cnota J (2012) The utility of outpatient echocardiography for evaluation of asymptomatic murmurs in children. Congenit Heart Dis 7:283\u2013288","journal-title":"Congenit Heart Dis"},{"key":"1497_CR11","doi-asserted-by":"publisher","first-page":"1515","DOI":"10.1016\/j.pcl.2004.08.004","volume":"51","author":"AN Pelech","year":"2004","unstructured":"Pelech AN (2004) The physiology of cardiac auscultation. Pediatr Clin North Am 51:1515\u20131535","journal-title":"Pediatr Clin North Am"},{"key":"1497_CR12","doi-asserted-by":"publisher","first-page":"1890","DOI":"10.1016\/S0735-1097(02)01886-7","volume":"39","author":"JI Hoffman","year":"2002","unstructured":"Hoffman JI, Kaplan S (2002) The incidence of congenital heart disease. J Am Coll Cardiol 39:1890\u20131900","journal-title":"J Am Coll Cardiol"},{"key":"1497_CR13","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1016\/j.echo.2014.03.002","volume":"27","author":"TV Johnson","year":"2014","unstructured":"Johnson TV, Rose GA, Fenner DJ, Rozario NL (2014) Improving appropriate use of echocardiography and single-photon emission computed tomographic myocardial perfusion imaging: a continuous quality improvement initiative. J Am Soc Echocardiogr 27:749\u2013757","journal-title":"J Am Soc Echocardiogr"},{"key":"1497_CR14","doi-asserted-by":"publisher","first-page":"448","DOI":"10.1016\/j.ijcard.2014.04.020","volume":"174","author":"N Gaibazzi","year":"2014","unstructured":"Gaibazzi N, Sartorio D, Reverberi C (2014) Transthoracic echocardiography appropriateness in outpatients of the Italian national health system, according to the American Society of Echocardiography criteria: evaluation and comparison with USA and UK. Int J Cardiol 174:448\u2013450","journal-title":"Int J Cardiol"},{"key":"1497_CR15","doi-asserted-by":"publisher","first-page":"1814","DOI":"10.1016\/j.amjcard.2012.02.025","volume":"109","author":"HR Patil","year":"2012","unstructured":"Patil HR, Coggins TR, Kusnetzky LL, Main ML (2012) Evaluation of appropriate use of transthoracic echocardiography in 1820 consecutive patients using the 2011 revised appropriate use criteria for echocardiography. Am J Cardiol 109:1814\u20131817","journal-title":"Am J Cardiol"},{"key":"1497_CR16","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1016\/j.echo.2012.03.006","volume":"25","author":"P Ballo","year":"2012","unstructured":"Ballo P, Bandini F, Capecchi I, Chiodi L, Ferro G, Fortini A et al (2012) Application of 2011 American College of Cardiology Foundation\/American Society of Echocardiography appropriateness use criteria in hospitalized patients referred for transthoracic echocardiography in a community setting. J Am Soc Echocardiogr 25:589\u2013598","journal-title":"J Am Soc Echocardiogr"},{"key":"1497_CR17","doi-asserted-by":"publisher","first-page":"857","DOI":"10.1016\/j.jcmg.2014.04.014","volume":"7","author":"RS Bhatia","year":"2014","unstructured":"Bhatia RS, Dudzinski DM, Malhotra R, Milford CE, Yoerger Sanborn DM, Picard MH et al (2014) Educational intervention to reduce outpatient inappropriate echocardiograms: a randomized control trial. JACC Cardiovasc Imaging 7:857\u2013866","journal-title":"JACC Cardiovasc Imaging"},{"key":"1497_CR18","doi-asserted-by":"publisher","first-page":"1329","DOI":"10.1016\/S0002-9149(02)02341-X","volume":"89","author":"SE Klewer","year":"2002","unstructured":"Klewer SE, Samson RA, Donnerstein RL, Lax D, Zamora R, Goldberg SJ (2002) Comparison of accuracy of diagnosis of congenital heart disease by history and physical examination versus echocardiography. Am J Cardiol 89:1329\u20131331","journal-title":"Am J Cardiol"},{"key":"1497_CR19","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/0167-5273(88)90196-9","volume":"19","author":"T Geva","year":"1988","unstructured":"Geva T, Hegesh J, Frand M (1988) Reappraisal of the approach to the child with heart murmurs: is echocardiography mandatory? Int J Cardiol 19:107\u2013113","journal-title":"Int J Cardiol"}],"container-title":["Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-016-1497-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00246-016-1497-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-016-1497-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,17]],"date-time":"2020-02-17T22:12:45Z","timestamp":1581977565000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00246-016-1497-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,8]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["1497"],"URL":"https:\/\/doi.org\/10.1007\/s00246-016-1497-1","relation":{},"ISSN":["0172-0643","1432-1971"],"issn-type":[{"value":"0172-0643","type":"print"},{"value":"1432-1971","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,8]]},"assertion":[{"value":"24 June 2016","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 October 2016","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 November 2016","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with Ethical Standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}