Background: Paediatric cardiac electrophysiologists are essential in CHD inpatient care, but their involvement is typically limited to consultation with individual patients. In our integrated heart centre, an electrophysiologist reviews all cardiac inpatient telemetry over the preceding 24 hours and participates in daily multidisciplinary morning report. This study investigates the impact of the strategy of consistent, formalised electrophysiologist presence at multidisciplinary morning report. Methods: This is a single-centre, prospective, observational study of electrophysiologist participation in patient encounters during heart centre multidisciplinary morning report from 10/20/2021 to 10/31/2022. Multidisciplinary morning report includes discussion of all intensive care and non-intensive care cardiac patients. An encounter was defined as reporting on one patient for one day. Electrophysiologists were initially blinded to observations. Results: Two electrophysiologists were observed over 215 days encompassing 6413 patient encounters. Electrophysiologists made comments on 581(9.1%) encounters in 234 unique patients with diverse diagnoses, equating to a median of 3[interquartile range:1–4] encounters per day. These included identifications of arrhythmias and describing electrocardiographic findings. Recommendation to change management occurred in 282(48.5%) encounters, most commonly regarding medications (n = 142, 24.4%) or pacemaker management (n = 48, 8.3%). Of the 581 encounters, there were 61(10.5%) in which they corrected another physician’s interpretation of rhythm or electrocardiogram. Conclusion: Routine electrophysiologist involvement in multidisciplinary morning report provides significant, frequent, and timely input in patient management by identifying precise rhythm-related diagnoses and allowing nuanced, patient-specific medication and pacemaker management of all cardiac patients, not just those consulted. Electrophysiologist presence at multidisciplinary morning report is a vital resource and this practice should be considered at integrated paediatric cardiac centres.

中文翻译：

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电生理学家对儿科心脏护理病房每日多学科报告的影响

背景：儿科心脏电生理学家在先心病住院护理中至关重要，但他们的参与通常仅限于对个别患者进行咨询。在我们的综合心脏中心，电生理学家会审查过去 24 小时内所有心脏住院患者的遥测数据，并参与每日多学科早间报告。本研究调查了电生理学家在多学科早间报告中一致、正式的存在策略的影响。方法：这是一项单中心、前瞻性、观察性研究，研究电生理学家在 2021 年 10 月 20 日至 2022 年 10 月 31 日心脏中心多学科早间报告期间参与患者就诊的情况。多学科早间报告包括所有重症监护和非重症监护心脏病患者的讨论。一次遭遇被定义为一天内报告一名患者。电生理学家最初对观察结果视而不见。结果：两名电生理学家在 215 天内观察了 6413 名患者。电生理学家对 234 名具有不同诊断的独特患者的 581 次 (9.1%) 次就诊发表了评论，相当于每天平均 3[四分位距：1-4] 次就诊。这些包括心律失常的识别和心电图检查结果的描述。在 282 次 (48.5%) 次咨询中建议改变管理，最常见的是药物治疗 (n = 142, 24.4%) 或起搏器管理 (n = 48, 8.3%)。在 581 次咨询中，有 61 次（10.5%）他们纠正了另一位医生对心律或心电图的解释。结论：电生理学家定期参与多学科早间报告，通过识别精确的心律相关诊断，并允许对所有心脏病患者（而不仅仅是那些咨询的患者）进行细致入微的、针对患者的药物和起搏器管理，为患者管理提供重要、频繁和及时的输入。电生理学家出席多学科早间报告是一项重要资源，综合儿科心脏中心应考虑这种做法。