{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T08:20:23Z","timestamp":1792225223335,"version":"4.4.0"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S104795112000013X_as1\" sec-type=\"other\"><jats:title>Background:<\/jats:title><jats:p>There is variation in care of secundum atrial septal defects. Defects &lt;3 mm and patent foramen ovale are not clinically significant. Defects &gt;3 mm are often followed clinically and may require closure. Variation in how these lesions are monitored may result in over-utilisation of routine studies and higher than necessary patient charges.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112000013X_as2\" sec-type=\"other\"><jats:title>Purpose:<\/jats:title><jats:p>To determine utilisation patterns for patients with secundum atrial septal defects diagnosed within the first year of life and compare to locally developed optimal utilisation standard to assess charge savings.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112000013X_as3\" sec-type=\"other\"><jats:title>Methods:<\/jats:title><jats:p>This was a retrospective chart review of patients with secundum atrial septal defects diagnosed within the first year of life. Patients with co-existing cardiac lesions were excluded. Total number of clinic visits, electrocardiograms, and echocardiograms were recorded. Total charge was calculated based on our standard institutional charges. Patients were stratified based on lesion and provider type and then compared to \u201coptimal utilisation\u201d using analysis of variance statistical analysis.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112000013X_as4\" sec-type=\"other\"><jats:title>Results:<\/jats:title><jats:p>Ninety-seven patients were included, 40 had patent foramen ovale (or atrial septal defect &lt;3 mm), 43 had atrial septal defects not requiring intervention and 14 had atrial septal defects requiring intervention. There was a statistically significant difference in mean charge above optimal for these lesions of $1033, $2885, and $5722 (p &lt; 0.02), respectively. There was statistically significant variation of charge among types of provider as well. Average charge savings per patient would be $2530 with total charge savings of $242,472 if the optimal utilisation pathway was followed.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112000013X_as5\" sec-type=\"other\"><jats:title>Conclusion:<\/jats:title><jats:p>Using optimal utilisation and decreasing variation could save the patient significant unnecessary charges.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s104795112000013x","type":"journal-article","created":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T04:48:42Z","timestamp":1581310122000},"page":"383-387","source":"Crossref","is-referenced-by-count":7,"title":["Resource utilisation in paediatric patients with secundum atrial septal defects"],"prefix":"10.1017","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2524-5536","authenticated-orcid":false,"given":"Daniel S.","family":"Ziebell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Ghaleb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Statile","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,2,10]]},"reference":[{"key":"S104795112000013X_ref12","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.90.4.2180"},{"key":"S104795112000013X_ref11","volume-title":"Critical Heart Disease in Infants and Children","author":"Ungerleider","year":"2019"},{"key":"S104795112000013X_ref10","volume-title":"Pediatric Cardiology for Practitioner","author":"Park","year":"2008"},{"key":"S104795112000013X_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s002469900439"},{"key":"S104795112000013X_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951104002069"},{"key":"S104795112000013X_ref1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.87.3.256"},{"key":"S104795112000013X_ref2","article-title":"Guidelines for the management of congenital heart diseases in childhood and adolescence","volume":"27","author":"Haas","year":"2017","journal-title":"Cardiol Young"},{"key":"S104795112000013X_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(83)90585-4"},{"key":"S104795112000013X_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(85)90360-6"},{"key":"S104795112000013X_ref4","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-3037"},{"key":"S104795112000013X_ref14","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.111.000349"},{"key":"S104795112000013X_ref13","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.08.27"},{"key":"S104795112000013X_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2008.03.061"},{"key":"S104795112000013X_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(93)90202-C"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S104795112000013X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T04:43:22Z","timestamp":1583988202000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S104795112000013X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,10]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["S104795112000013X"],"URL":"https:\/\/doi.org\/10.1017\/s104795112000013x","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,10]]}}}