Risk-stratified postnatal care of newborns with congenital heart disease determined by fetal echocardiography

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
Mary T DonofrioCraig A Sable

Abstract

Advances in fetal echocardiography have improved recognition of congenital heart disease (CHD). Imaging protocols have been developed that predict delivery room (DR) risk and anticipated postnatal level of care (LOC). The aim of this study was to determine the utility of fetal echocardiography in the perinatal management of CHD. A retrospective analysis of fetal and postnatal records was conducted. The anticipated LOC was assigned by fetal echocardiography (LOC 1, nursery consult/outpatient follow-up; LOC 2, stable in DR with transfer to cardiac hospital; LOC 3 or 4, DR instability/urgent intervention needed). Prenatal diagnoses and LOC assignment were compared with postnatal diagnoses, treatment, and short-term outcomes. From 2004 to 2012, 8,101 fetuses were evaluated; 7,405 were normal. Of 696 with CHD, 101 terminated, 40 died in utero, and 37 received palliative care. LOC was assigned in the remaining 518. Of 219 LOC 1, 195 (89%) had postnatal follow-up. Only two required transfer for intervention (LOC 1 sensitivity, 0.9; LOC 1 positive predictive value, 0.99). Of 260 assigned LOC 2, 229 (88%) had follow-up. Of these, 200 (87%) were transferred for surgery or intervention. The median time to admission was 195 min. Twenty-two...Continue Reading

References

Jan 1, 1991·Journal of the American College of Cardiology·Lisa K HornbergerK L Reed
Feb 1, 1996·Journal of the American College of Cardiology·R A BerningM J Rice
Jun 1, 1996·Journal of the American College of Cardiology·Z J NaheedS S Gidding
Mar 10, 2001·Circulation·Wayne TworetzkyNorman H Silverman
Jun 2, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·Edgar T JaeggiS G Cooper
Dec 4, 2001·American Journal of Perinatology·V MirlesseF Daffos
Feb 6, 2004·Journal of Perinatology : Official Journal of the California Perinatal Association·Mary T DonofrioWilliam B Moskowitz
May 21, 2005·American Journal of Perinatology·Noboru InamuraFutoshi Kayatani
Jan 4, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·I B FuchsW Henrich
Feb 18, 2011·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Rajesh Punn, Norman H Silverman
Oct 12, 2011·Circulation·Håkan EliassonFetal Working Group of the European Association of Pediatric Cardiology
May 19, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M D QuartermainJack Rychik
Jan 8, 2013·The American Journal of Cardiology·Mary T DonofrioJohn T Berger
Apr 26, 2014·Circulation·Mary T DonofrioAmerican Heart Association Adults With Congenital Heart Disease Joint Committee of the Council on Cardiovascular Disease in

Citations

Feb 16, 2016·Clinics in Perinatology·Laura SanapoMary T Donofrio
Mar 11, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·Maciej SłodkiMary T Donofrio
Oct 25, 2016·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Anita KrishnanCraig A Sable
Aug 7, 2018·Cardiology in the Young·Piers C A BarkerStephen G Miller
Dec 6, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Maciej SłodkiMaria Respondek-Liberska
Jun 22, 2019·Journal of Korean Medical Science·Susan Taejung KimCheong Rae Roh
Jul 2, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Monica Cruz-LeminiRogelio Cruz-Martinez
Aug 23, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·Vinzenz BoosChristoph Bührer
Apr 12, 2020·Prenatal Diagnosis·Sannya V HedeMark S Sklansky
Jul 15, 2020·Ultrasonography·Nathalie Jeanne Bravo-ValenzuelaEdward Araujo Júnior
Nov 2, 2018·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M Tavares de SousaB P Schoennagel
Oct 16, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·April D AdamsSara N Iqbal
May 14, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Ian ThomasSarah Gelehrter
Jan 25, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Vinzenz BoosChristoph Bührer
Jan 29, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Annak JadczakInternational Prenatal Cardiology Collaboration Group
Nov 23, 2020·Interactive Cardiovascular and Thoracic Surgery·Vinzenz BoosFelix Berger
Dec 1, 2020·Pediatric Radiology·Lindsay D PesacretaDorothy I Bulas

Related Concepts

2D Echocardiography
Congenital Heart Defects
Cardiac Surgery Procedures
Postpartum Programs
Statistical Sensitivity
Severity of Illness Index
Reproducibility of Results
Fetal Ultrasonography
Benefit-Risk Assessment
Arteries

Related Feeds

Aortic Coarctation

Aortic coarctation is a congenital condition characterized by narrowing of the aorta. Discover the latest research on this disease here.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

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.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Blood And Marrow Transplantation

The use of hematopoietic stem cell transplantation or blood and marrow transplantation (bmt) is on the increase worldwide. BMT is used to replace damaged or destroyed bone marrow with healthy bone marrow stem cells. Here is the latest research on bone and marrow transplantation.

Related Papers

Pediatrics International : Official Journal of the Japan Pediatric Society
Ayumi MatsumotoMitsuaki Hosoya
Pediatric Cardiology
J P Kovalchin, Norman H Silverman
Journal of Perinatology : Official Journal of the California Perinatal Association
M A HamdanF Chedid
© 2021 Meta ULC. All rights reserved