Cardiac Auscultatory Skills of Academic Family Physicians Strength of Association with an Academic Pediatric Cardiologist英文文献资料.docVIP

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Cardiac Auscultatory Skills of Academic Family Physicians Strength of Association with an Academic Pediatric Cardiologist英文文献资料.doc

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Cardiac Auscultatory Skills of Academic Family Physicians Strength of Association with an Academic Pediatric Cardiologist英文文献资料

HindawiPublishingCorporation InternationalJournalofFamilyMedicine Volume2010,ArticleID370731,4pages doi:10.1155/2010/370731 ClinicalStudy CardiacAuscultatorySkillsofAcademicFamilyPhysicians: StrengthofAssociationwithanAcademicPediatricCardiologist GuzelDiscigil, AyvazAydogdu, AyferGemalmaz, F.SerdarGurel, andOkayBasak 1 2 1 3 1 1 2 3 DepartmentofFamilyMedicine,FacultyofMedicine,AdnanMenderesUniversity,09100Aydin,Turkey DepartmentofPaediatricCardiology,FacultyofMedicine,AdnanMenderesUniversity,09100Aydin,Turkey MinistryofHealth,06434Ankara,Turkey CorrespondenceshouldbeaddressedtoGuzelDiscigil,gdiscigil@ Received8December2009;Revised9June2010;Accepted14September2010 AcademicEditor:ChristosLionis Copyright?2010GuzelDiscigiletal. This is an open access article distributed under the Creative Commons Attribution License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly cited. Aim.Heartmurmuriscommoninchildren,anditisoneofthemainreasonsforreferralamongchildreninprimarycare.Theaim ofthisstudyistoevaluateagreementandconsistencyofnormal,innocent,andpathologicmurmurdecisionbetweenacademic familyphysiciansandacademicpediatriccardiologist.Methods.Sevenhundred?fteenprimaryschoolchildrenwereexaminedby familyphysiciansandpaediatriccardiologist.Auscultatoryexaminationwasperformed.Intensity,frequency,duration,quality, location, and radiation of the murmur were described if present. Agreement of normal, innocent, and pathologic murmur classi?cationdecisionbetweenfamilyphysicianandpaediatriccardiologistwasanalyzedbyusingkappastatistic.Results .Normal, innocentandpathologicmurmurswerereportedfor419,228,and54childreninfamilyphysicians’reports,respectively.Paediatric cardiologistagreedon383(91.4%)childrenasnormal,191(83.7%)childrenhavinginnocentmurmur,and19(35.2%)children havingpathologicmurmuramongfamilyphysician’sreports.Therewasgoodconsistencybetweenfamilyphysician