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Sökning: WFRF:(Kazamia Kalliopi) > Screening for Criti...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00006542naa a2200529 4500
001oai:gup.ub.gu.se/335560
003SwePub
008240528s2023 | |||||||||||000 ||eng|
009oai:DiVA.org:umu-217885
009oai:prod.swepub.kib.ki.se:237732389
009oai:lup.lub.lu.se:89363a8e-08ab-4866-9dc3-f68aedb44119
009oai:prod.swepub.kib.ki.se:154956545
024a https://gup.ub.gu.se/publication/3355602 URI
024a https://doi.org/10.1542/peds.2023-0619492 DOI
024a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-2178852 URI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:2377323892 URI
024a https://lup.lub.lu.se/record/89363a8e-08ab-4866-9dc3-f68aedb441192 URI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1549565452 URI
040 a (SwePub)gud (SwePub)umud (SwePub)kid (SwePub)lud (SwePub)ki
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Lannering, Katarinau Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics,Region Västra Götaland, Children’s Heart Center, Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Pediatrics, Institution of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden4 aut0 (Swepub:gu)xlkatp
2451 0a Screening for Critical Congenital Heart Defects in Sweden
264 1b American Academy of Pediatrics (AAP),c 2023
520 a OBJECTIVES Early diagnosis of critical congenital heart defects (CCHD) improves survival. We evaluated the relative contributions of prenatal ultrasound, neonatal pulse oximetry screening (POS), and neonatal physical examination (NPE) to the early detection (before discharge) of CCHD in the context of increasing prenatal detection, and POS being a national standard since 2013.METHODS Retrospective, nationwide population-based study. All full-term live-born infants with CCHD in Sweden between 2014 and 2019 were included. CCHD was defined as a congenital heart defect requiring surgery or catheter-based intervention or resulting in death within 28 days of birth.RESULTS Of 630 infants, 89% were diagnosed before discharge or death, 42% prenatally, 11% from early symptoms, 23% by POS, and 14% from NPE after a negative POS. Four (0.6%) died undiagnosed before discharge and 64/630 (10%) were discharged undiagnosed, with 24/64 being readmitted with circulatory failure and causing 1 preoperative death. Coarctation was the most prevalent CCHD (N = 184), 25% of whom were detected prenatally (12% by POS and 29% by NPE). Two died undiagnosed before discharge and 30% were discharged undiagnosed. Transposition was the second most common defect (N = 150) and 43% were detected prenatally (33% by POS, 1 by NPE) and 2 died undiagnosed before POS. None was discharged undiagnosed.CONCLUSIONS POS and NPE remain important for the early detection of CCHD complementing prenatal ultrasound screening. Nevertheless, 1 in 10 with CCHD leaves the hospital without a diagnosis, with coarctation being the predominant lesion. Future research on CCHD screening should have a particular focus on this cardiac defect.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Pediatrik0 (SwePub)302212 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Pediatrics0 (SwePub)302212 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
700a Kazamia, Kalliopiu Karolinska Institute,Karolinska University Hospital4 aut
700a Bergman, Gunnaru Karolinska Institute,Karolinska Institutet,Karolinska University Hospital4 aut
700a Östman-Smith, Ingegerd,d 1947u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics,Department of Pediatrics, Institution of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden4 aut0 (Swepub:gu)xostin
700a Liuba, Petruu Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Barnkardiologi,Forskargrupper vid Lunds universitet,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Children cardiology,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)pedi-pli
700a Alenius Dahlqvist, Jenny,d 1972-u Umeå University,Umeå universitet,Pediatrik4 aut0 (Swepub:umu)jeah0012
700a Elfvin, Anders,d 1971u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics,Department of Pediatrics, Institution of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden; Region Västra Götaland, Department of Pediatrics, Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden4 aut0 (Swepub:gu)xelfan
700a Mellander, Mats,d 1947u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics,Region Västra Götaland, Children’s Heart Center, Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Pediatrics, Institution of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden4 aut0 (Swepub:gu)xmemat
710a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för pediatrik4 org
773t PEDIATRICSd : American Academy of Pediatrics (AAP)g 152:4q 152:4x 0031-4005x 1098-4275
856u http://dx.doi.org/10.1542/peds.2023-061949y FULLTEXT
8564 8u https://gup.ub.gu.se/publication/335560
8564 8u https://doi.org/10.1542/peds.2023-061949
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-217885
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:237732389
8564 8u https://lup.lub.lu.se/record/89363a8e-08ab-4866-9dc3-f68aedb44119
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:154956545

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