Archana Priyadarshi1, Jan Klimek1. 1. Neonatal Intensive Care Unit Westmead Hospital PO Box 533 Wentworthville New South Wales 2145 Australia.
Abstract
INTRODUCTION: To assess the accuracy of neonatal clinician-performed cardiac ultrasound (CPU) in detection of congenital heart disease (CHD) in newborn infants with no antenatally suspected cardiac abnormality. METHODS: We reviewed records of all infants diagnosed with CHD, identified all new cases of CHD detected by CPU and classified them as 'severe' or 'other'; the 'severe CHD' was further classified as 'critical' or 'non-critical CHD'. We compared the CPU diagnosis to the final diagnosis as per paediatric cardiologist echocardiography. RESULTS: A total of 357 infants identified to have any form of CHD; 50 newly diagnosed by neonatal CPU: 21 'severe' and 29 'other' CHD. The neonatologist CPU had a high concordance rate with the final diagnosis. There were three incorrect diagnoses identified by CPU. CONCLUSION: This audit demonstrates high accuracy, in our unit, of neonatal CPU in identifying new cases of CHD not suspected antenatally. A neonatal CPU could enhance the pickup rate and, with appropriate referral to a paediatric cardiologist, improve the clinical care of infants born with CHD.
INTRODUCTION: To assess the accuracy of neonatal clinician-performed cardiac ultrasound (CPU) in detection of congenital heart disease (CHD) in newborn infants with no antenatally suspected cardiac abnormality. METHODS: We reviewed records of all infants diagnosed with CHD, identified all new cases of CHD detected by CPU and classified them as 'severe' or 'other'; the 'severe CHD' was further classified as 'critical' or 'non-critical CHD'. We compared the CPU diagnosis to the final diagnosis as per paediatric cardiologist echocardiography. RESULTS: A total of 357 infants identified to have any form of CHD; 50 newly diagnosed by neonatal CPU: 21 'severe' and 29 'other' CHD. The neonatologist CPU had a high concordance rate with the final diagnosis. There were three incorrect diagnoses identified by CPU. CONCLUSION: This audit demonstrates high accuracy, in our unit, of neonatal CPU in identifying new cases of CHD not suspected antenatally. A neonatal CPU could enhance the pickup rate and, with appropriate referral to a paediatric cardiologist, improve the clinical care of infants born with CHD.
Authors: Luc Mertens; Istvan Seri; Jan Marek; Romaine Arlettaz; Piers Barker; Patrick McNamara; Anita J Moon-Grady; Patrick D Coon; Shahab Noori; John Simpson; Wyman W Lai Journal: Eur J Echocardiogr Date: 2011-10
Authors: Nick Evans; Veronique Gournay; Fernando Cabanas; Martin Kluckow; Tina Leone; Alan Groves; Patrick McNamara; Luc Mertens Journal: Semin Fetal Neonatal Med Date: 2011-02 Impact factor: 3.926
Authors: Luc Mertens; Istvan Seri; Jan Marek; Romaine Arlettaz; Piers Barker; Patrick McNamara; Anita J Moon-Grady; Patrick D Coon; Shahab Noori; John Simpson; Wyman W Lai Journal: J Am Soc Echocardiogr Date: 2011-10 Impact factor: 5.251