内华达州对心血管手术前六个月的患者进行产前诊断。
Prenatal diagnosis in Nevada for patients undergoing cardiovascular surgery in the first six months.
机构信息
Congenital Heart Center Nevada, Las Vegas, Nevada, USA.
Division of Pediatric Cardiology, Department of Pediatrics, Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, Nevada, USA.
出版信息
J Card Surg. 2021 Dec;36(12):4472-4475. doi: 10.1111/jocs.15979. Epub 2021 Sep 6.
OBJECTIVE
We reviewed our center's experience with prenatal detection in Nevada's general population for young infants undergoing cardiovascular surgery.
METHODS
We identified patients born in Nevada that underwent an initial cardiovascular surgery between 0 and 6 months old with birth dates between August 2012 and July 2021. Additionally, we calculated prenatal congenital cardiovascular malformation detection rates for each of the 9 years.
RESULTS
We identified 660 patients. For the 660 patients, 649 (98%) mothers underwent prenatal care, which included at least one anatomical-survey obstetric ultrasound. Of the 649 with prenatal care, 395 (61%) had a prenatal diagnosis overall. However, prenatal diagnosis improved over the 9 years from 44% in 2012 to 79% in 2021 (correlation coefficient of 0.93, p = .00024).
CONCLUSIONS
Our results demonstrated a progressive rise in prenatal detection rates for young infants undergoing cardiovascular surgery in Nevada.
目的
我们回顾了我们中心在为接受心血管手术的婴幼儿进行的内华达州普通人群中的产前检测经验。
方法
我们确定了在 2012 年 8 月至 2021 年 7 月期间出生、在 0 至 6 个月期间接受首次心血管手术的内华达州患者。此外，我们计算了 9 年来每一年的产前先天性心血管畸形检出率。
结果
我们确定了 660 名患者。对于这 660 名患者，649 名（98%）母亲接受了产前保健，其中包括至少一次解剖学调查的产科超声检查。在接受产前保健的 649 名患者中，395 名（61%）总体上有产前诊断。然而，产前诊断在 9 年内有所提高，从 2012 年的 44%提高到 2021 年的 79%（相关系数为 0.93，p=0.00024）。
结论
我们的结果表明，在内华达州接受心血管手术的婴幼儿的产前检出率呈上升趋势。
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