Currently, PTT can only be performed with complex acquisition systems in tertiary centres.
Moreover, patients seeking care in tertiary centres could have more severe disease, more severe medication overuse leading again to an increase in the questionnaire sensibility.
Results: The median age of our patient population was 56.3 years, 62%% were male, and there were 8 transfers to tertiary centres.
Results: Obstetrical and neonatal management changed over time, with an increased number of deliveries in tertiary centres (35.7 60.7%), an increase in C-sections (43.7 56.8%) and prolonged artificial ventilation (3.4 9.5%).
Patients and setting: All children (<19 years) with a previously diagnosed heart defect and SUD between January 1990 and June 2001 in seven out of eight tertiary centres in the Netherlands were identified using the hospital databases.
Another limitation is the results cannot be translated directly to all MOH patients as our patients are included from tertiary centres, and thereby represent selected patients that may have failed prior treatment programmes within first or second line.
All tertiary centres were urban.
11 tertiary centres in Korea.
TTE was performed only at tertiary centres for SSc assessment.
Some tertiary centres provide specialist assessment for children with VI.
(Physician) Patients were referred by GPs to a physician, if available, or to tertiary centres.
