{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:03:24Z","timestamp":1777899804144,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2013,2,1]],"date-time":"2013-02-01T00:00:00Z","timestamp":1359676800000},"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":["Scott Med J"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Investigation and management of neonatal heart murmurs varies widely and is dependent on local resources. In order to standardise the management of heart murmurs in our hospital a guideline (based on clinical examination with selective cardiology review) was introduced.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To establish adherence to and safety of the guideline; to review workload implications and to define the causes of neonatal heart murmurs in our population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were prospectively identified over a 2-year period (August 2006 to July 2008). Case notes were reviewed and examination findings, investigations, follow up and diagnosis recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>89 babies were identified. The guideline was generally well adhered to. In total 51 (57%) of babies were referred for cardiology assessment. In 40 babies this assessment included an echocardiogram. 30 babies (34%) had an underlying cardiac malformation: 25 were identified before discharge home. 15\/30 (50%) of the babies with a cardiac malformation remain under cardiology follow up at the age of 1 year. No baby discharged from follow up without cardiology review subsequently presented with a cardiac problem.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A significant minority of babies with a heart murmur have an underlying cardiac malformation. Our guideline appears to ensure the timely identification of these babies and rationalises our use of specialist services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0036933012474603","type":"journal-article","created":{"date-parts":[[2013,4,22]],"date-time":"2013-04-22T14:43:37Z","timestamp":1366641817000},"page":"e11-e14","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["An audit of the management of heart murmurs on the postnatal wards"],"prefix":"10.1177","volume":"58","author":[{"given":"KM","family":"O\u2019Reilly","sequence":"first","affiliation":[{"name":"Consultant Neonatologist, Neonatal Unit, Southern General Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FM","family":"Hall","sequence":"additional","affiliation":[{"name":"Consultant Neonatologist, Royal Hospital for Sick Children, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Richens","sequence":"additional","affiliation":[{"name":"Consultant Paediatric Cardiologist, University Hospital Southampton Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Paediatric Specialty Trainee, Royal Hospital for Sick Children"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JH","family":"Simpson","sequence":"additional","affiliation":[{"name":"Consultant Neonatologist, Royal Hospital for Sick Children, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,4,17]]},"reference":[{"key":"bibr1-0036933012474603","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.119032"},{"key":"bibr2-0036933012474603","doi-asserted-by":"publisher","DOI":"10.1017\/S104795110400602X"},{"key":"bibr3-0036933012474603","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2008.06.017"},{"key":"bibr4-0036933012474603","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a3037"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933012474603","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0036933012474603","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933012474603","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:15:01Z","timestamp":1777630501000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0036933012474603"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2]]},"references-count":4,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["10.1177\/0036933012474603"],"URL":"https:\/\/doi.org\/10.1177\/0036933012474603","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"value":"0036-9330","type":"print"},{"value":"2045-6441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2]]}}}