Identification of Serious Congenital Heart Disease in Neonates after Initial Hospital Discharge
| Autor: | Robb L. Romp, Robert L. Schelonka, John T. Benjamin, Waldemar A. Carlo |
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| Rok vydání: | 2007 |
| Předmět: |
Heart Defects
Congenital Pediatrics medicine.medical_specialty Time Factors Heart disease Severity of Illness Index Cohort Studies Prenatal Diagnosis medicine Hospital discharge Humans Radiology Nuclear Medicine and imaging Retrospective Studies Aortic Arch Syndromes business.industry Surgical care Medical record Infant Newborn Aortic arch anomalies General Medicine medicine.disease Patient Discharge Early Diagnosis Pediatrics Perinatology and Child Health Referral center Surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | Congenital Heart Disease. 2:327-331 |
| ISSN: | 1747-0803 1747-079X |
| DOI: | 10.1111/j.1747-0803.2007.00120.x |
| Popis: | Objective. Neonates with congenital heart disease (CHD) frequently require prompt intervention to improve outcomes and limit morbidities. We sought to determine the time to identification for infants with serious CHD admitted to the State of Alabama's neonatal cardiovascular center and to identify types of cardiac lesions associated with an earlier vs. later diagnosis. Design/Setting. Medical record review of all infants admitted to Alabama's cardiovascular referral center over a 3-year period. Patients. Neonates with serious CHD admitted for medical/surgical care. Results. In total, 178 neonates were identified with serious CHD. Of these, 146 (82%) were identified postnatally. Thirty-two (21%) of the postnatally detected infants were identified after initial discharge from the hospital. Neonates with aortic arch anomalies presented at a median age of 7 days. Conclusion. Identification of infants with serious CHD, especially those with aortic arch anomalies is frequently delayed. These findings support the need for improved methods to detect CHD in the newborn. |
| Databáze: | OpenAIRE |
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