Detection of severe congenital heart defects in live-born infants in Norway 2017-2020.
Acta Paediatr
; 113(1): 135-142, 2024 01.
Article
em En
| MEDLINE
| ID: mdl-37646094
ABSTRACT
AIM:
The aims of this nationwide retrospective cohort study were to determine the time and causes of detection of severe congenital heart defects (CHDs) in live-born infants in Norway between 2017 and 2020.METHODS:
Information regarding live-born infants with severe CHDs was retrieved from national registries and medical records.RESULTS:
A total of 219 776 infants were born in Norway from 01.01.2017 to 31.12.2020. Severe CHDs were diagnosed in 442 (0.2%) infants. Of these, 376 (85%) infants were diagnosed either prenatally (n = 203, 46%) or before discharge from hospital after birth (n = 173, 39%). A total of 56 (13%) infants were discharged with undetected CHDs. Time of detection was unknown in 10 cases (2%). The most frequent undetected CHDs at discharge were coarctation of the aorta/aortic arch hypoplasia (n = 24), atrioventricular septal defect (n = 13), anomalous pulmonary venous connection (n = 5) and coronary artery anomalies (n = 4). Seven (13%) children with undetected CHD experienced circulatory collapse out of hospital.CONCLUSION:
Most infants with severe CHDs in Norway were identified prior to hospital discharge. However, some infants were discharged undiagnosed. Awareness of undetected CHDs and immediate cardiac assessment in infants with signs of circulatory failure early in life are still important.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Síndrome de Down
/
Cardiopatias Congênitas
/
Defeitos dos Septos Cardíacos
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Child
/
Humans
/
Infant
País/Região como assunto:
Europa
Idioma:
En
Revista:
Acta Paediatr
/
Acta paediatr. scand
/
Acta paediatrica scandinavica
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Noruega