新生儿科医生进行心脏超声检测早产儿先天性心脏病。
Detection of congenital heart disease by neonatologist performed cardiac ultrasound in preterm infants.
机构信息
Department of Cardiology, Perth Children's Hospital, Perth, WA, Australia.
Cardiovascular Epidemiology Research Center, School of Population and Global Health, University of Western Australia, Perth, WA, Australia.
出版信息
J Perinatol. 2024 Oct;44(10):1432-1436. doi: 10.1038/s41372-024-02065-4. Epub 2024 Jul 23.
OBJECTIVE
We aimed to assess the frequency of de novo congenital heart disease (CHD) detection via neonatologist-performed cardiac ultrasounds (NPCU) in premature infants born at <30 weeks of gestation.
STUDY DESIGN
In this cross-sectional study (2004-2023) clinicians completing NPCU flagged de novo suspected CHD. All flagged NPCUs were cross-checked with cardiologists to confirm CHD diagnosis.
RESULTS
There were 2088 out of 3739 infants (56%) with at least one NPCU; 294 (14%) with cardiology referral. CHD diagnosis was confirmed in 109 of the 2088 (5.2%) infants. All major and critical CHD on NPCU imaging were suspected during NPCU and had prompt referral to the cardiology department.
CONCLUSION
De novo presentation of significant CHD continues to occur in the preterm population, emphasizing the need for recognizing CHD during NPCU. Optimizing NPCU training may benefit patients with early cardiology referral and review.
目的
我们旨在评估在 <30 孕周出生的早产儿中，由新生儿科医生进行的心脏超声（NPCU）检测到新发先天性心脏病（CHD）的频率。
研究设计
在这项横断面研究（2004 年至 2023 年）中，完成 NPCU 的临床医生标记新发疑似 CHD。所有标记的 NPCU 均与心脏病专家交叉核对，以确认 CHD 诊断。
结果
在 3739 名婴儿中，有 2088 名（56%）至少进行了一次 NPCU；294 名（14%）进行了心脏科转诊。在 2088 名婴儿中，有 109 名（5.2%）确诊为 CHD。所有在 NPCU 影像学上的主要和严重 CHD 在 NPCU 期间均被怀疑，并迅速转介到心脏病科。
结论
在早产儿人群中，新发的显著 CHD 仍在不断发生，这强调了在 NPCU 期间识别 CHD 的必要性。优化 NPCU 培训可能有利于早期进行心脏病学转诊和审查的患者。
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