Detection of congenital heart disease by neonatologist performed cardiac ultrasound in extreme preterm infants

Le résumé fourni par la source

Abstract Purpose We aimed to assess the frequency and accuracy of neonatologist-performed cardiac ultrasound (NPCU) in detecting de novo congenital heart disease (CHD) in premature infants born at < 30 weeks of gestation. Methods This retrospective cross-sectional study was conducted on all NPCU studies performed at a tertiary-level neonatal department from January 2004 to June 2023. Clinicians completing the NPCU identified de novo suspected CHD at the time of the scan. All NPCUs were cross-checked with cardiology databases to confirm the final CHD diagnosis. Results A total of 3739 infants < 30 weeks’ gestation were admitted during the review period, 2088 (56%) of which received at least one NPCU; 294 (14%) were referred to pediatric cardiology and received an echocardiogram. CHD was confirmed in 109 of 2088 (5.2%) babies, 3 (3%) had critical disease, 8 (7%) had major cardiac anomalies, and 53 (49%) had non-major flagged CHD. No major or critical CHD was missed by the NPCU in the cohort. Conclusion De novo presentation of significant CHD still occurs in the preterm population and needs to be recognized by those performing NPCU. Ongoing training and collaboration with cardiology to optimize NPCU may provide benefits in the early referral and diagnosis of CHD.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.