Cited by 241Congenital Heart Disease StudiesPrenatal Screening and DiagnosticsCongenital heart defects research

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Prenatal detection of congenital heart disease—results of a national screening programme

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van Velzen, CL, Clur, SA, Rijlaarsdam, MEB, Bax, CJ, Pajkrt, E, Heymans, MW, Bekker, MN, Hruda, J, de Groot, CJM, Blom, NA, Haak, MC·2016·BJOG: An International Journal of Obstetrics & Gynaecology

DOI 10.1111/1471-0528.13274

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Abstract

Objective: Congenital heart disease (CHD) is the most common congenital malformation and causes major morbidity and mortality. Prenatal detection improves the neonatal condition before surgery, resulting in less morbidity and mortality. In the Netherlands a national prenatal screening programme was introduced in 2007. This study evaluates the effects of this screening programme. Design: Geographical cohort study. Setting: Large referral region of three tertiary care centres. Population: Fetuses and infants diagnosed with severe CHD born between 1 January 2002 and 1 January 2012. Methods: Cases were divided into two groups: before and after the introduction of screening. Main outcome measures: Detection rates were calculated. Results: The prenatal detection rate (n = 1912) increased with 23.9% (95% confidence interval [95% CI] 19.5–28.3) from 35.8 to 59.7% after the introduction of screening and of isolated CHD with 21.4% (95% CI 16.0–26.8) from 22.8 to 44.2%. The highest detection rates were found in the hypoplastic left heart syndrome, other univentricular defects and complex defects with atrial isomerism (>93%). Since the introduction of screening, the ‘late’ referrals (after 24 weeks of gestation) decreased by 24.3% (95% CI 19.3–29.3). Conclusions: This is the largest cohort study to investigate the prenatal detection rate of severe CHD in an unselected population. A nationally organised screening has resulted in a remarkably high detection rate of CHD (59.7%) compared with earlier literature.

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Authors: van Velzen, C., Clur, S., Rijlaarsdam, M., Bax, C., Pajkrt, E., Heymans, M., Bekker, M., Hruda, J., de Groot, C., Blom, N., & Haak, M.
Affiliations: Department of Obstetrics and Gynaecology VU University Medical Centre Amsterdam the Netherlands
Department of Pediatric Cardiology Academic Medical Centre Emma Children's Hospital Amsterdam the Netherlands
Department of Paediatric Cardiology Leiden University Medical Centre Leiden the Netherlands
Amsterdam UMC Location University of Amsterdam (NL)
Department of Epidemiology and Biostatistics VU University Medical Centre Amsterdam the Netherlands
Department of Obstetrics and Gynaecology Radboud University Medical Centre Nijmegen the Netherlands
Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
Leiden University (NL)
Department of Obstetrics and Gynaecology Leiden University Medical Centre Leiden the Netherlands
ORCID: Pajkrt, E
Hruda, J
Venue: BJOG: An International Journal of Obstetrics & Gynaecology
Publisher: Wiley
Published: 2015-01-27
Volume: 123
Issue: 3
Pages: 400-407
ISSN: 0306-5456 (ISSN-L)
1470-0328
1471-0528
DOI: 10.1111/1471-0528.13274
OpenAlex: W2097437284
Cited by: 240
References: 39
Citations by year: 2026: 14 · 2025: 12 · 2024: 27 · 2023: 28 · 2022: 27 · 2021: 28 · 2020: 23 · 2019: 23 · 2018: 17 · 2017: 18 · 2016: 15 · 2015: 7
FWCI: 14.90
Type: journal article
Language: en
Open access: green
pure.amsterdamumc.nl
Licence: other-oa
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
PubMed (publishedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Leiden Repository (Leiden University) (submittedVersion)
Utrecht University Repository (Utrecht University) (submittedVersion)
Pure Amsterdam UMC (submittedVersion, other-oa)
Funders: Universiteit Leiden
Vrije Universiteit Amsterdam
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Congenital Heart Disease Studies
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Congenital heart defects research
Keywords: congenital heart disease, prenatal screening, prenatal diagnosis, detection rate, national screening program, hypoplastic left heart syndrome, atrial isomerism, late referral, congenital malformations
MeSH terms: Female, Heart Defects, Congenital, Humans, Netherlands, Pregnancy, Prospective Studies, Severity of Illness Index, Cohort Studies, Program Evaluation, Ultrasonography, Prenatal

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Prenatal detection of congenital heart disease—results of a national screening programme

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