The Utility of Routine Echocardiography in Newborn Infants with a Persistent Oxygen Requirement
dc.contributor.author | Walsh, N | |
dc.contributor.author | Breathnach, C | |
dc.contributor.author | El-Khuffash, A | |
dc.contributor.author | Franklin, O | |
dc.contributor.author | Corcoran, JD | |
dc.date.accessioned | 2018-06-12T10:52:01Z | |
dc.date.available | 2018-06-12T10:52:01Z | |
dc.date.issued | 2018-05 | |
dc.identifier.uri | http://hdl.handle.net/10147/623060 | |
dc.description.abstract | In the era of antenatal screening for congenital heart disease (CHD), infants presenting with an undiagnosed significant CHD are rare. However, term infants admitted with an initial diagnosis of TTN and a prolonged oxygen requirement often undergo an echocardiogram. We aimed to assess whether this practice yields any additional cases of undiagnosed CHD. We performed a retrospective chart review over a three year period [2013 – 2015] of term (> 36 weeks) infants admitted to the NICU for ≥ 5 days with a diagnosis of TTN and received an echocardiogram. The presence of CHD on the echocardiogram was assessed. Forty-seven infants were enrolled. The median age of echocardiogram was day four [2 – 8]. No infant had a diagnosis of significant CHD on the postnatal echocardiogram. A small muscular VSD was identified in two infants. Routine echocardiography for this cohort of infants to rule out major CHD appears to be unwarranted. | |
dc.language.iso | en | en |
dc.publisher | Irish Medical Journal | en |
dc.subject | Echocardiography | en |
dc.subject | Newborn | en |
dc.subject.other | congenital heart disease | en |
dc.title | The Utility of Routine Echocardiography in Newborn Infants with a Persistent Oxygen Requirement | en |
dc.type | Article | en |
dc.identifier.journal | Irish Medical Journal | en |
dc.description.funding | No funding | en |
dc.description.province | Leinster | en |
dc.description.peer-review | peer-review | en |
html.description.abstract | In the era of antenatal screening for congenital heart disease (CHD), infants presenting with an undiagnosed significant CHD are rare. However, term infants admitted with an initial diagnosis of TTN and a prolonged oxygen requirement often undergo an echocardiogram. We aimed to assess whether this practice yields any additional cases of undiagnosed CHD. We performed a retrospective chart review over a three year period [2013 – 2015] of term (> 36 weeks) infants admitted to the NICU for ≥ 5 days with a diagnosis of TTN and received an echocardiogram. The presence of CHD on the echocardiogram was assessed. Forty-seven infants were enrolled. The median age of echocardiogram was day four [2 – 8]. No infant had a diagnosis of significant CHD on the postnatal echocardiogram. A small muscular VSD was identified in two infants. Routine echocardiography for this cohort of infants to rule out major CHD appears to be unwarranted. |