Evaluation of referral indications for fetal echocardiography in Beijing

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
Man LiQingqing Wu

Abstract

This study was conducted to evaluate the referral indications for fetal echocardiography (FE) in a tertiary center and to determine which indications were significantly associated with prenatal detection of congenital heart disease (CHD). The medical records of 1425 consecutive women who underwent second- and third-trimester FE at the Ultrasound Center of Beijing Obstetrics and Gynecology Hospital from March 2003 to December 2007 were reviewed. Referral indications, FE diagnoses, and pregnancy outcomes were collected. Univariate and multivariate logistic regression analyses were performed to identify those referral indications associated with prenatal detection of CHD. In 126 patients (8.8%), CHD was detected prenatally and confirmed postnatally. Logistic regression analysis showed that abnormal cardiac views and extracardiac malformation findings (especially a single umbilical artery) on second-trimester ultrasound screening were found to have significantly more CHD (P < .001). The adjusted odds ratios were 15.2 (95% confidence interval, 9.85-23.45) and 6.78 (95% confidence interval, 2.38-19.27), respectively. Abnormal cardiac views and extracardiac malformation findings on second-trimester ultrasound screening were significan...Continue Reading

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Citations

Sep 22, 2016·Journal of Obstetrics and Gynaecology of India·Anupama Nair, S Radhakrishnan
Aug 18, 2016·Journal of Echocardiography·Narasimhan Chitra, I B Vijayalakshmi
Jul 16, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·E Araujo JúniorF da Silva Costa
Aug 20, 2021·The Egyptian Heart Journal : (EHJ) : Official Bulletin of the Egyptian Society of Cardiology·Marwa Moustapha Al-FahhamNevin Mamdouh Habeeb

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