{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:04:20Z","timestamp":1777935860917,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,1,17]],"date-time":"2017-01-17T00:00:00Z","timestamp":1484611200000},"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":["J Telemed Telecare"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Tele-echocardiography can ensure prompt diagnosis and prevent the unnecessary transport of infants without critical congenital heart disease, particularly at isolated locations lacking access to tertiary care medical centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed all infants who underwent tele-echocardiography at a remote 16-bed level IIIB NICU from June 2005 to March 2014. Tele-echocardiograms were completed by cardiac sonographers in Okinawa, Japan, and transmitted asynchronously for review by pediatric cardiologists in Hawaii.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the study period 100 infants received 192 tele-echocardiograms: 46% of infants had tele-echocardiograms completed for suspected patent ductus arteriosus, 28% for suspected congenital heart disease, 12% for possible congenital heart disease in the setting of likely pulmonary hypertension, and 10% for possible congenital heart disease in the setting of other congenital anomalies. Of these, 17 patients were aeromedically evacuated for cardiac reasons; 12 patients were transported to Hawaii, while five patients with complex heart disease were transported directly to the United States mainland for interventional cardiac capabilities not available in Hawaii.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This study demonstrates the use of tele-echocardiography to guide treatment, reduce long and potentially risky trans-Pacific transports, and triage transports to destination centers with the most appropriate cardiac capabilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x16689500","type":"journal-article","created":{"date-parts":[[2017,1,21]],"date-time":"2017-01-21T11:29:35Z","timestamp":1484998175000},"page":"224-229","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["A retrospective analysis of a pediatric tele-echocardiography service to treat, triage, and reduce trans-Pacific transport"],"prefix":"10.1177","volume":"24","author":[{"given":"Christopher A","family":"Rouse","sequence":"first","affiliation":[{"name":"Walter Reed National Military Medical Center, Department of Pediatrics, Division of Neonatology, Bethesda, USA"},{"name":"Uniformed Services University of Health Sciences, Department of Pediatrics, Bethesda, USA"},{"name":"779th Medical Operations Squadron, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon T","family":"Woods","sequence":"additional","affiliation":[{"name":"University of Washington, School of Medicine, Department of Pediatrics, Division of Pediatric Critical Care Medicine, Seattle, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C Becket","family":"Mahnke","sequence":"additional","affiliation":[{"name":"Tripler Army Medical Center, Department of Pediatrics, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,1,17]]},"reference":[{"key":"bibr1-1357633X16689500","unstructured":"Gleason CA, Devaskar SU and Avery ME (eds). 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