{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:13:57Z","timestamp":1791497637719,"version":"4.3.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2012,12,1]],"date-time":"2012-12-01T00:00:00Z","timestamp":1354320000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Objective:<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic toggle=\"yes\">We report our experience with tele-echocardiography and echocardiograms recorded digitally or on videotape (recorded-echos) at The University of Arizona from August 2006 to December 2010 and compare their quality and diagnostic accuracy.<\/jats:italic>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Materials and Methods:<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic toggle=\"yes\">Tele-echocardiograms (tele-echos) were transmitted from the Yuma Regional Medical Center to The University of Arizona via a T-1 and aT-3 line at a bandwidth of 768 kilobits per second. Recorded-echos were shipped for interpretation to The University of Arizona by overnight mail. Diagnostic accuracy was assessed by comparing tele- and recorded-echos with electrocardiograms performed by a pediatric cardiologist (PedsCard-echos).<\/jats:italic>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Results:<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic toggle=\"yes\">Three hundred forty-six tele-echos in 260 patients and 455 recorded-echos in 406 patients were performed (median age, 6 and 8 days, respectively). Indications included possible congenital heart disease (CHD), patent ductus arteriosus (PDA), and persistent pulmonary hypertension of the newborn. Diagnostic categories included complex CHD, non-critical disease, PDA, and other. PedsCard-echos were available for 27% of the tele-echo and 30% of the recorded-echo patients. Comparisons between tele- and PedsCard-echo yielded no discrepancies in 12 (23%), expected resolution of condition in 26 (49%), and minor in 14 (26%). One (2%) major discrepancy was detected. Comparisons between recorded- and PedsCard-echo showed no discrepancies in 28 (40%), expected resolution of condition in 14 (20%), and minor discrepancies in 28 (40%) patients. No significant difference with respect to discrepancies was detected between tele- and recorded-echos. There was significant (<\/jats:italic>\n                    p\n                    <jats:italic toggle=\"yes\">&lt;0.01) improvement in tele- and recorded-echo study quality by 2010.<\/jats:italic>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Conclusions:<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic toggle=\"yes\">(1) Tele-echocardiography can be performed successfully with excellent accuracy. (2) The quality of tele- and recorded-echo studies improved toward the end of the analysis period. (3) Although initially tele-echo studies were more accurate than recorded-echo studies, there was no difference between these two types of studies by the fourth year of the study. (4) Both tele- and recorded-echos were indispensible in the remote diagnosis of CHD.<\/jats:italic>\n                  <\/jats:p>","DOI":"10.1089\/tmj.2012.0037","type":"journal-article","created":{"date-parts":[[2012,10,26]],"date-time":"2012-10-26T11:35:09Z","timestamp":1351251309000},"page":"736-742","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Remote Diagnosis of Congenital Heart Disease in Southern Arizona: Comparison Between Tele-echocardiography and Videotapes"],"prefix":"10.1177","volume":"18","author":[{"given":"Jessica E.","family":"Haley","sequence":"first","affiliation":[{"name":"The University of Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott E.","family":"Klewer","sequence":"additional","affiliation":[{"name":"The University of Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brent J.","family":"Barber","sequence":"additional","affiliation":[{"name":"The University of Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. John","family":"Meaney","sequence":"additional","affiliation":[{"name":"The University of Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard L.","family":"Donnerstein","sequence":"additional","affiliation":[{"name":"The University of Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald S.","family":"Weinstein","sequence":"additional","affiliation":[{"name":"Arizona Telemedicine Program"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Krupinski","sequence":"additional","affiliation":[{"name":"Arizona Telemedicine Program"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Warda","sequence":"additional","affiliation":[{"name":"Yuma Regional Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Maria","family":"Lopez","sequence":"additional","affiliation":[{"name":"Arizona Telemedicine Program"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Lax","sequence":"additional","affiliation":[{"name":"The University of Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,12,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.109.1.e3"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/107830299311907"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(89)90011-8"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-001-0199-4"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2008.146456"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-1317"},{"key":"e_1_3_3_8_2","unstructured":"Preacher KJ. Calculation for the chi-square test: An interactive calculation tool for chi-square tests of goodness of fit and independence [computer software] April 2001. http:\/\/quantpsy.org. 2012February."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2006.09.001"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2008.003011"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1258\/1357633011936462"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-003-1170-6"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2008.080102"},{"key":"e_1_3_3_14_2","first-page":"1","article-title":"Telemedicine applications in pediatric cardiology","volume":"55","author":"Sable C","year":"2003","unstructured":"Sable C. Telemedicine applications in pediatric cardiology. Minerva Pediatr, 2003; 55:1\u201313.","journal-title":"Minerva Pediatr"},{"key":"e_1_3_3_15_2","first-page":"181","article-title":"Pediatric cardiology and telemedicine: Seven years' experience of cooperation with remote hospitals","volume":"29","author":"Gomez R","year":"2010","unstructured":"Gomez R, , Rossi R, , Lima S et al. Pediatric cardiology and telemedicine: Seven years' experience of cooperation with remote hospitals. Rev Port Cardiol, 2010; 29:181\u2013191.","journal-title":"Rev Port Cardiol"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1258\/135763306779378636"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(99)00182-5"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1067\/mje.2001.109922"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1258\/1357633042614258"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/tmj.2012.0037","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2012.0037","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2012.0037","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:20:12Z","timestamp":1777587612000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/tmj.2012.0037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12]]},"references-count":18,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2012,12]]}},"alternative-id":["10.1089\/tmj.2012.0037"],"URL":"https:\/\/doi.org\/10.1089\/tmj.2012.0037","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,12]]}}}