Sökning: WFRF:(Kazamia Kalliopi) > Screening for Criti...
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000 | 06542naa a2200529 4500 | |
001 | oai:gup.ub.gu.se/335560 | |
003 | SwePub | |
008 | 240528s2023 | |||||||||||000 ||eng| | |
009 | oai:DiVA.org:umu-217885 | |
009 | oai:prod.swepub.kib.ki.se:237732389 | |
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024 | 7 | a https://gup.ub.gu.se/publication/3355602 URI |
024 | 7 | a https://doi.org/10.1542/peds.2023-0619492 DOI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-2178852 URI |
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024 | 7 | a https://lup.lub.lu.se/record/89363a8e-08ab-4866-9dc3-f68aedb441192 URI |
024 | 7 | a 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 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a 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 |
245 | 1 0 | a Screening for Critical Congenital Heart Defects in Sweden |
264 | 1 | b 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 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Pediatrik0 (SwePub)302212 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Pediatrics0 (SwePub)302212 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng |
700 | 1 | a Kazamia, Kalliopiu Karolinska Institute,Karolinska University Hospital4 aut |
700 | 1 | a Bergman, Gunnaru Karolinska Institute,Karolinska Institutet,Karolinska University Hospital4 aut |
700 | 1 | a 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 |
700 | 1 | a 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 |
700 | 1 | a Alenius Dahlqvist, Jenny,d 1972-u Umeå University,Umeå universitet,Pediatrik4 aut0 (Swepub:umu)jeah0012 |
700 | 1 | a 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 |
700 | 1 | a 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 |
710 | 2 | a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för pediatrik4 org |
773 | 0 | t PEDIATRICSd : American Academy of Pediatrics (AAP)g 152:4q 152:4x 0031-4005x 1098-4275 |
856 | 4 | u http://dx.doi.org/10.1542/peds.2023-061949y FULLTEXT |
856 | 4 8 | u https://gup.ub.gu.se/publication/335560 |
856 | 4 8 | u https://doi.org/10.1542/peds.2023-061949 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-217885 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:237732389 |
856 | 4 8 | u https://lup.lub.lu.se/record/89363a8e-08ab-4866-9dc3-f68aedb44119 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:154956545 |
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