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Evid Based Med 17:190-191 doi:10.1136/ebmed-2012-100538
  • Prognosis

Of 3700 children thought to have non-cardiac chest pain at initial paediatric cardiology clinic evaluation, none suffered cardiac death over a median of 4 years follow-up

  1. Jennifer Thull-Freedman
  1. Department of Paediatrics, University of Toronto, Toronto, Canada
  1. Correspondence to Jennifer Thull-Freedman
    Department of Paediatrics, University of Toronto, 555 University Avenue, Toronto, ON M5G 1X8, Canada; jennifer.thull-freedman{at}sickkids.ca

Commentary on:

Context

Chest pain (CP) in children is a common complaint, though cardiac causes are rare. The study by Saleeb et al aims to determine whether any children diagnosed initially with CP in the cardiology clinic of a children's hospital subsequently died as a result of a cardiac condition.

Methods

Medical records were reviewed for all clinic patients >6 years of age with an International Classification of Diseases-9 (ICD-9) code for initial CP assessment who were seen at Children's Hospital Boston over 10 years. The authors suggest that usual coding practice in the clinic would be to use such codes for patients not considered to have cardiac disease. Demographic features, history and exam findings, tests performed and presumed diagnoses were abstracted. The vital status of all patients, and cause of death of deceased patients, were …

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