Late referral for about one in four neonates with critical CHD

Late referral for about one in four neonates with critical CHD

(HealthDay)—A considerable proportion of neonates with critical congenital heart disease (CCHD) are not referred to a cardiac center by age 4 days, according to a study published online June 30 in Pediatrics.

David E. Fixler, M.D., from the University of Texas Southwestern Medical Center in Dallas, and colleagues describe the correlation between timing of referral to a cardiac center and mortality in 2,360 neonates with CCHD, born before screening (1996 to 2007). The date of first at a cardiac center was used to ascertain the age at referral.

The researchers found that the median age at referral was 1 day, while 27.5 percent of neonates were referred after age 4 days, and no record of referral was found for 7.5 percent of neonates. For those referred at age 0 to 4 days, 5 to 27 days, and with no referral, was 18.1, 9.0, and 38.8 percent, respectively. Across two eras within 1996 to 2007, no improvement was seen in age at referral.

"A significant proportion of with CCHD experienced late or no referral to cardiac specialty centers, accounting for a significant number of the deaths," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Study examines drug labeling and exposure in infants

Dec 09, 2013

Federal legislation encouraging the study of drugs in pediatric patients has resulted in very few labeling changes that include new infant information, according to a study by Matthew M. Laughon, M.D., M.P.H., of the University ...

Recommended for you

Real-time volume imaging of hearts

3 hours ago

A new ultrasound system from Siemens enables doctors to carry out heart examinations through the esophagus for the first time. The system supplies 3D images of the heart as well as additional real-time information ...

Post-PCI bleeding rates vary widely across hospitals

21 hours ago

(HealthDay)—Patient case-mix and procedural factors may contribute to wide variation in the hospital rates of bleeding after percutaneous coronary intervention (PCI), according to research published online ...

Most seniors eligible for statin Rx under new guidelines

Nov 25, 2014

(HealthDay)—Most older Americans qualify for treatment with statins under new guidelines for the treatment of blood cholesterol released late last year by the American College of Cardiology and the American ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.