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September 5, 2018The Journal of Maternal-Fetal & Neonatal Medicine

Retrospective cohort study of prenatally and postnatally diagnosed coarctation of the aorta (CoA): prenatal diagnosis improve neonatal outcome in severe CoA

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Key result

Prenatal diagnosis of coarctation of the aorta was associated with lower mortality compared to severe postnatal diagnosis (18.6% mortality in the severe postnatal group; p=0.005).

Why the study?

Does prenatal diagnosis of coarctation of the aorta improve neonatal outcomes and reduce mortality compared to postnatal diagnosis?

Population

115 neonates with coarctation of the aorta, including 38 diagnosed prenatally and 77 diagnosed postnatally…

Comparison

Prenatal diagnosis of coarctation of the aorta vs Postnatal diagnosis of coarctation of the aorta

Design

Cohort

Follow-up

Neonatal period

Authors

MSMaciej SłodkiGRGiuseppe RizzoAAAnna Augustyniak

Discussion

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Overview

Supports prenatal diagnosis for lower coarctation mortality; leaves open prospective confirmation before screening changes.

Study Design

Type

Cohort (n=115)

Structured PICO

Does prenatal diagnosis of coarctation of the aorta improve neonatal outcomes and reduce mortality compared to postnatal diagnosis?

P
Population
115 neonates with coarctation of the aorta diagnosed prenatally or within 28 days postnatally.
E
Exposure
Prenatal diagnosis of coarctation of the aorta
C
Comparator
Postnatal diagnosis of coarctation of the aorta (within 28 days of birth)
O
Outcome
Mortality rate, prostaglandin dose, NICU visits, and length of hospitalizationhard clinical

Main Result

p-value: p=0.005

Prenatal diagnosis of severe coarctation of the aorta is associated with lower prostaglandin doses and reduced neonatal mortality compared to postnatal diagnosis.

Cite This Study

Słodki et al. (2018) conducted a cohort in Coarctation of the aorta (CoA) (n=115). Prenatal diagnosis vs. Postnatal diagnosis was evaluated on Mortality rate (p=0.005). Prenatal diagnosis of coarctation of the aorta was associated with lower mortality compared to severe postnatal diagnosis (18.6% mortality in the severe postnatal group; p=0.005).

synapsesocial.com/papers/6a9749713bf8798e79a3bd50https://doi.org/10.1080/14767058.2018.1510913
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Also Consider

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

  1. 1Prediction of coarctation of the aorta in the second half of pregnancy2012 · 80 citations
  2. 2Critical Congenital Cardiac Defects in the Newborn1999 · 10 citations
  3. 3Neonatal screening for critical cardiovascular anomalies using pulse oximetry2013 · 41 citations
  4. 4Timing of presentation and postnatal outcome of infants suspected of having coarctation of the aorta during fetal life2005 · 122 citations
  5. 5Measurement of the Great Vessels in the Mediastinum Could Help Distinguish True From False-Positive Coarctation of the Aorta in the Third Trimester2009 · 67 citations