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February 23, 1999CirculationOpen Access

Detection of Transposition of the Great Arteries in Fetuses Reduces Neonatal Morbidity and Mortality

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Key result

Prenatal diagnosis of transposition of the great arteries reduced preoperative mortality (0% vs 6%, P<0.05) and postoperative mortality (0% vs 8.5%, P<0.01) compared to postnatal diagnosis.

Why the study?

Does prenatal diagnosis reduce preoperative and postoperative mortality and morbidity in neonates with Transposition of the Great Arteries compared to postnatal diagnosis?

Population

318 neonates with Transposition of the Great Arteries (TGA) over a 10-year period

Comparison

Prenatal diagnosis of TGA vs Postnatal diagnosis of TGA

Design

Cohort

Follow-up

Hospital stay

Authors

DBDamien BonnetACAnna ColtriGBGianfranco Butera

Discussion

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Overview

Supports expanded prenatal TGA screening; hypothesis-generating and requires prospective confirmation before changing practice.

Study Design

Type

Cohort (n=318)

Structured PICO

Does prenatal diagnosis reduce preoperative and postoperative mortality and morbidity in neonates with Transposition of the Great Arteries compared to postnatal diagnosis?

P
Population
318 neonates with Transposition of the Great Arteries (TGA) over a 10-year period
I
Intervention
Prenatal diagnosis of TGA
C
Comparator
Postnatal diagnosis of TGA
O
Outcome
Preoperative and postoperative morbidity and mortalityhard clinical

Main Result

Absolute Event Rate: 0% vs 6%

p-value: p=<0.05

Prenatal diagnosis of transposition of the great arteries significantly reduces preoperative and postoperative mortality and improves clinical condition at admission compared to postnatal diagnosis.

Cite This Study

Bonnet et al. (1999) conducted a cohort in Transposition of the great arteries (n=318). Prenatal diagnosis vs. Postnatal diagnosis was evaluated on Preoperative mortality (p=<0.05). Prenatal diagnosis of transposition of the great arteries reduced preoperative mortality (0% vs 6%, P<0.05) and postoperative mortality (0% vs 8.5%, P<0.01) compared to postnatal diagnosis.

synapsesocial.com/papers/6a11bf4b276e1b6925c8ffdbhttps://doi.org/10.1161/01.cir.99.7.916
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical outcomes after the arterial switch operation for transposition. Patient, support, procedural, and institutional risk factors. Congenital Heart Surgeons Society.1992 · 241 citations
  2. 2Factors influencing the outcome of congenital heart disease detected prenatally.1991 · 55 citations
  3. 3Does a prenatal diagnosis of congenital heart disease alter short‐term outcome?1997 · 160 citations
  4. 4Coronary Artery Pattern and Outcome of Arterial Switch Operation for Transposition of the Great Arteries2002 · 357 citations
  5. 5Outcome of fetuses with heart disease diagnosed in utero1997 · 69 citations