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Screening for critical congenital heart disease (CHD) with prenatal ultrasound or postnatal pulse oximetry has the potential to improve outcome. To guide screening recommendations, this study aimed to identify the proportion and outcome of major CHD diagnosed before (early) or after (late) postnatal discharge prior to the introduction of postnatal oximetry screening.A retrospective, population-based review of all major CHD in New Zealand from 2006 to 2010. The timing of diagnosis relative to discharge and to intervention in critical and non-critical cases with intention to treat was determined, as was the relationship of diagnostic timing to mortality at 1 year of age.Late diagnosis occurred in 20

作者:Luke, Eckersley;Lynn, Sadler;Emma, Parry;Kirsten, Finucane;Thomas L, Gentles

来源:Archives of disease in childhood 2016 年 101卷 6期

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作者:
Luke, Eckersley;Lynn, Sadler;Emma, Parry;Kirsten, Finucane;Thomas L, Gentles
来源:
Archives of disease in childhood 2016 年 101卷 6期
标签:
Cardiac Surgery Mortality atrial septal defect congenital heart disease delayed diagnosis
Screening for critical congenital heart disease (CHD) with prenatal ultrasound or postnatal pulse oximetry has the potential to improve outcome. To guide screening recommendations, this study aimed to identify the proportion and outcome of major CHD diagnosed before (early) or after (late) postnatal discharge prior to the introduction of postnatal oximetry screening.A retrospective, population-based review of all major CHD in New Zealand from 2006 to 2010. The timing of diagnosis relative to discharge and to intervention in critical and non-critical cases with intention to treat was determined, as was the relationship of diagnostic timing to mortality at 1 year of age.Late diagnosis occurred in 20