Document Detail

Referral of young adult patients with congenital heart disease to adult centres. The Canadian Adult Congenital Heart Network.
MedLine Citation:
PMID:  8665423     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To establish a process of referral for young adult patients with congenital heart disease from pediatric to adult centres. DESIGN: Directors of pediatric cardiology units across Canada were asked to complete a questionnaire detailing their process of referral of young adult patients with congenital heart disease to adult centres. They were also asked to respond to specific case scenarios. Adult cardiologist members of the Canadian Adult Congenital Heart Network were asked to respond to the same case scenarios. MAIN RESULTS: Most pediatric cardiology centres refer patients to adult cardiologists at 18 years of age. The process of referral generally involves a referral letter and relevant parts of the chart. Few centres arrange a booked appointment with the adult cardiologist, although this would be preferred by the majority of the responding adult cardiologists. Generally good agreement existed between pediatric and adult cardiologists with regard to the kind of patients who required specialized care at an adult congenital heart centre. CONCLUSION: Within Canada, a process is rapidly evolving to facilitate the transfer of care of young adults with congenital heart disease.
H C Rosenberg; G Webb
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  12     ISSN:  0828-282X     ISO Abbreviation:  Can J Cardiol     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-08-05     Completed Date:  1996-08-05     Revised Date:  2008-04-09    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  600-2     Citation Subset:  IM    
Children's Hospital of Western Ontario, London.
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MeSH Terms
Age Factors
Cardiology Service, Hospital / organization & administration*,  statistics & numerical data
Health Services Research
Heart Defects, Congenital / therapy*
Hospitals, Teaching
Outcome and Process Assessment (Health Care)
Patient Selection
Pediatrics / organization & administration*,  statistics & numerical data
Physician Executives
Referral and Consultation / organization & administration*,  statistics & numerical data
Regional Medical Programs / organization & administration*,  statistics & numerical data

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