Impact of a regional training program in fetal echocardiography for sonographers on the antenatal detection of major congenital heart disease

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
A McBrienF Casey

Abstract

The aims of this study were to ascertain the effect of a regional training program in fetal echocardiography for obstetric radiographers on the antenatal detection of major congenital heart disease (CHD) and to document short-term outcomes for major CHD. All 87 obstetric radiographers in Northern Ireland were invited to attend 2.5 days of training during a 1-year period. Data were collected before and after the training, over a 5-year study period, to assess the effect of training on the antenatal detection of CHD in the population. The antenatal detection of major CHD rose significantly, from 28% (72/262) pretraining to 43% (36/84) in the year of training (P = 0.008). Antenatal diagnosis of four-chamber-view defects rose significantly (from 38% to 54%; P = 0.04), as did detection of outflow-tract-view defects (from 8% to 21%; P = 0.05). Twelve per cent (13/108) of cases died spontaneously in utero and 8% (9/108) were terminated. Only 78% (67/86) of live-born cases in which CHD had been diagnosed antenatally survived the neonatal period, compared to 93% (221/238) with a postnatal diagnosis of CHD (P < 0.001). Even with a relatively simple training program, significant improvements can be made in the antenatal detection of CHD. ...Continue Reading

References

Oct 1, 1978·The American Journal of Cardiology·J I Hoffman, R Christianson
Jan 1, 1985·International Journal of Cardiology·L M Gerlis
Mar 1, 1971·Circulation·S C MitchellH W Berendes
May 1, 1995·Pediatric Cardiology·J I Hoffman
Jul 1, 1994·Archives of Disease in Childhood·M Abu-HarbC Wren
May 1, 1994·Journal of the American College of Cardiology·L D AllanN L Fagg
Jul 1, 1997·Archives of Disease in Childhood. Fetal and Neonatal Edition·M Eronen
May 20, 1999·Journal of the American College of Cardiology·A J TometzkiN H Silverman
Aug 24, 1999·American Journal of Obstetrics and Gynecology·H GrandjeanS Levi
Mar 4, 2000·Heart·L Allan
Jun 2, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E GarneUNKNOWN Euroscan Group
Aug 10, 2002·Pediatric Cardiology·D H Brick, L D Allan
Dec 23, 2004·Prenatal Diagnosis·A ShubR Cincotta
Oct 13, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·G OggèT Todros
Jun 9, 2007·Archives of Disease in Childhood. Fetal and Neonatal Edition·C WrenK Khawaja

❮ Previous
Next ❯

Citations

Jun 12, 2012·ISRN Obstetrics and Gynecology·Torbjørn Moe EggebøChristian Lycke Ellingsen
Jun 4, 2014·BMC Medical Imaging·Eric HildebrandBirgitta Janerot-Sjoberg
Jan 28, 2015·BJOG : an International Journal of Obstetrics and Gynaecology·C L van VelzenM C Haak
Sep 3, 2011·Pediatrics International : Official Journal of the Japan Pediatric Society·Zhangbin YuXirong Guo
Jun 22, 2012·Prenatal Diagnosis·Brian A McCrossanFrank A Casey
Nov 14, 2013·Prenatal Diagnosis·Elizabeth C AilesUNKNOWN National Birth Defects Prevention Study
Dec 21, 2013·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·N M PintoK J Smith
Feb 18, 2014·Prenatal Diagnosis·F BertagnaV Houfflin-Debarge
May 21, 2015·Prenatal Diagnosis·G D HillM A Frommelt
Mar 17, 2015·Frontiers in Pediatrics·Antonio Francesco Corno
Apr 16, 2016·Prenatal Diagnosis·Jolande J OosterhuisMonique C Haak
Jul 18, 2018·Echo Research and Practice·Lindsey E Hunter, Anna N Seale
Mar 3, 2017·Cardiology in the Young·UNKNOWN Authors/Task Force Members:Pascal R Vouhé
Sep 2, 2011·Circulation Journal : Official Journal of the Japanese Circulation Society·Laurianne Le GloanPaul Khairy
Aug 20, 2014·Current Opinion in Pediatrics·Stacy A S KillenAnn Kavanaugh-McHugh
Oct 11, 2019·Obstetrics and Gynecology·Bettina F CuneoJ Fred Thomas
Mar 3, 2019·Archives of Disease in Childhood·Elza CloeteThomas L Gentles
Mar 26, 2014·Nature Reviews. Cardiology·Lindsey E Hunter, John M Simpson
Nov 20, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Julianna Brown, Brian Holland
May 28, 2019·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A E L van NisselrooijM C Haak
Apr 25, 2020·Journal of Medical Ultrasonics·Aki MabuchiJo Kitawaki
Feb 1, 2015·Australasian Journal of Ultrasound in Medicine·Frances Miceli
Dec 26, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Nelangi M PintoAnita Y Kinney
Jan 13, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·George E SarrisPascal R Vouhé
Oct 12, 2018·Echo Research and Practice·Lindsey E Hunter, Anna N Seale

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.