Critical heart disease in the neonate: presentation and outcome at a tertiary care center

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Aaron T DorfmanTroy E Dominguez

Abstract

To define the modes of presentation, incidence of major organ dysfunction, predictors of hospital mortality, and adverse outcomes in neonates with critical heart disease admitted to a tertiary care center. Retrospective chart review. A tertiary care pediatric cardiac intensive care unit and neonatal intensive care unit. The medical records for all neonates (< or = 30 days of age) with heart disease admitted to the cardiac intensive care unit or neonatal intensive care unit between October 1, 2002, and September 30, 2003, were reviewed. None. A total of 190 neonates met inclusion criteria during this 1-yr period, of which 146 (77%) had at least one surgical procedure. Single ventricle heart disease was present in 42%. The most common mode of presentation was following a prenatal diagnosis (53%), followed by diagnosis in the newborn nursery (38%) and diagnosis after newborn hospital discharge (8%). The most common presenting findings in the newborn nursery were isolated murmur (38%) or cyanosis (32%), while circulatory collapse (38%) was the most common presentation after discharge. For the entire study cohort, 13% had a known genetic syndrome, 23% had a major noncardiac congenital anomaly, and 16% weighed < 2.5 kg. The hospital ...Continue Reading

References

Mar 1, 1978·American Journal of Diseases of Children·R J LevyA S Nadas
Aug 1, 1990·European Journal of Pediatrics·H H KramerA Giese
Jan 1, 1985·American Journal of Epidemiology·C FerenczJ W Downing
Oct 15, 1995·The American Journal of Cardiology·H P Gutgesell, T A Massaro
Feb 1, 1995·The Journal of Pediatrics·D R Neuspiel
May 18, 1999·Archives of Disease in Childhood. Fetal and Neonatal Edition·C WrenL Donaldson
Dec 11, 1999·Cardiology in the Young·P D Grossfeld
Jan 29, 2000·The Journal of Thoracic and Cardiovascular Surgery·R R ClancyJ E Goin
May 17, 2000·Current Opinion in Obstetrics & Gynecology·T Todros
Mar 30, 2001·The Journal of Thoracic and Cardiovascular Surgery·P M VerheijenG B Bennink
May 1, 2002·Prenatal Diagnosis·Alan H FriedmanJoshua A Copel
May 25, 2002·Scandinavian Cardiovascular Journal : SCJ·Talvikki BoldtMarianne Eronen
Jan 25, 2003·Critical Care Medicine·Kate L BrownDaniel J Penny
Feb 28, 2003·The Annals of Thoracic Surgery·Irving ShenRoss M Ungerleider
Apr 5, 2003·The Journal of Emergency Medicine·Eric SavitskyScott Votey
May 29, 2003·The Journal of Thoracic and Cardiovascular Surgery·David A AshburnEugene H Blackstone
Aug 14, 2003·The Journal of Pediatrics·Jane W NewburgerGil Wernovsky
Sep 26, 2003·Current Opinion in Pediatrics·Chitra RavishankarGil Wernovsky
Apr 3, 2004·Pediatrics·Jodi M BartlettJane W Newburger
Apr 15, 2004·Annals of Surgery·Daniel J DibardinoCharles D Fraser
Feb 1, 2005·Cardiology in the Young·K Sarah HoehnRobert M Nelson
Apr 5, 2005·Pediatrics·Jack M PercelayUNKNOWN American Academy of Pediatrics Section on Hospital Medicine
Sep 15, 2005·Current Opinion in Pediatrics·Hitendra T Patel, Ziyad M Hijazi
Jan 26, 2006·The Journal of Thoracic and Cardiovascular Surgery·Chad N StasikRichard G Ohye
Feb 14, 2006·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Clifford L CuaPeter C Laussen
May 17, 2006·Circulation·Elizabeth D BlumeUNKNOWN Pediatric Heart Transplant Study Investigators

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Citations

Oct 2, 2009·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Michael G GaiesJennifer C Hirsch
Oct 16, 2014·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Maneesh KumarVijay Kher
May 7, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·A W SwensonM A Attar
Mar 14, 2013·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·C Cavero CarbonellC Martos Jiménez
Dec 15, 2011·Seminars in Roentgenology·Edward Y LeeWendy Lam
Sep 6, 2011·Radiologic Clinics of North America·Jeffrey C HellingerMonica Epelman
Oct 5, 2010·European Journal of Medical Genetics·Manu S RaamBenjamin D Solomon
Apr 13, 2011·Paediatric Anaesthesia·Ravi R Thiagarajan, Peter C Laussen
Feb 11, 2011·Paediatric Anaesthesia·Glyn D Williams, Ronald S Cohen
Apr 24, 2015·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·B J HollandC R Woods
Aug 1, 2015·Emergency Medicine Clinics of North America·Ashley M Strobel, Le N Lu
Apr 10, 2015·Pediatric Cardiology·Camille DollatVirginie Lambert
Dec 10, 2014·Interactive Cardiovascular and Thoracic Surgery·Kyle G MileticChristopher W Mastropietro
Feb 25, 2009·Critical Care Nursing Clinics of North America·Sharyl L Sadowski
Oct 16, 2016·American Journal of Medical Genetics. Part a·Melissa BorelliLaura L Jelliffe-Pawlowski
Jan 27, 2017·Circulation·Emelia J BenjaminUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Feb 2, 2018·Circulation·Emelia J BenjaminUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
Aug 11, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Katherine CashenChristopher W Mastropietro
Feb 1, 2019·Circulation·Emelia J BenjaminUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
Oct 31, 2018·The Journal of International Medical Research·Asli Nuriye Melekoglu, Osman Baspinar
Sep 24, 2008·Neonatal Network : NN·Diana O Neal, Linda L Lindeke
Jan 30, 2020·Circulation·Salim S ViraniUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
Mar 17, 2020·Diabetes/metabolism Research and Reviews·Matilde Monteiro-SoaresFran Game
Jun 24, 2019·Paediatrics & Child Health·Ka Hong ChanKevin C Harris
Jan 28, 2021·Circulation·Salim S ViraniUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
May 25, 2021·Curēus·Adil Umut ZubariogluBahruz Aliyev

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