Detection of congenital heart disease by neonatologist performed cardiac ultrasound in preterm infants.

Autor: MacDonald B; Department of Cardiology, Perth Children's Hospital, Perth, WA, Australia. Bradley.macdonald@uwa.edu.au.; Cardiovascular Epidemiology Research Center, School of Population and Global Health, University of Western Australia, Perth, WA, Australia. Bradley.macdonald@uwa.edu.au.; Healthy Skin and ARF Prevention, Telethon Kid's Institute, Perth, WA, Australia. Bradley.macdonald@uwa.edu.au.; Neonatal Intensive Care Unit, King Edward's Hospital for Women, Perth, WA, Australia. Bradley.macdonald@uwa.edu.au.; School of Medicine, University of Western Australia, Perth, WA, Australia. Bradley.macdonald@uwa.edu.au., Yim D; Department of Cardiology, Perth Children's Hospital, Perth, WA, Australia.; Cardiovascular Epidemiology Research Center, School of Population and Global Health, University of Western Australia, Perth, WA, Australia., Ramsay J; Department of Cardiology, Perth Children's Hospital, Perth, WA, Australia., Gill A; Neonatal Intensive Care Unit, King Edward's Hospital for Women, Perth, WA, Australia.; School of Medicine, University of Western Australia, Perth, WA, Australia.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2024 Oct; Vol. 44 (10), pp. 1432-1436. Date of Electronic Publication: 2024 Jul 23.
DOI: 10.1038/s41372-024-02065-4
Abstrakt: Objective: We aimed to assess the frequency of de novo congenital heart disease (CHD) detection via neonatologist-performed cardiac ultrasounds (NPCU) in premature infants born at <30 weeks of gestation.
Study Design: In this cross-sectional study (2004-2023) clinicians completing NPCU flagged de novo suspected CHD. All flagged NPCUs were cross-checked with cardiologists to confirm CHD diagnosis.
Results: There were 2088 out of 3739 infants (56%) with at least one NPCU; 294 (14%) with cardiology referral. CHD diagnosis was confirmed in 109 of the 2088 (5.2%) infants. All major and critical CHD on NPCU imaging were suspected during NPCU and had prompt referral to the cardiology department.
Conclusion: De novo presentation of significant CHD continues to occur in the preterm population, emphasizing the need for recognizing CHD during NPCU. Optimizing NPCU training may benefit patients with early cardiology referral and review.
(© 2024. Crown.)
Databáze: MEDLINE
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