典型文献
Two approaches for newborns with critical congenital heart disease:a comparative study
文献摘要：
Background Prenatal diagnosis and planned peripartum care is an unexplored concept in China.This study aimed to evalu-ate the effects of the "prenatal diagnosis and postnatal treatment integrated model" for newborns with critical congenital heart disease.Methods The medical records of neonates (≤ 28 days) admitted to Fuwai Hospital were reviewed retrospectively from Janu-ary 2019 to December 2020.The patients were divided into "prenatal diagnosis and postnatal treatment integrated group"(n =47) and "non-integrated group" (n =69).Results The age of admission to the hospital and the age at surgery were earlier in the integrated group than in the non-integrated group (5.2 ± 7.2 days vs.11.8 ± 8.0 days,P ＜ 0.001;11.9 ± 7.0 days vs.16.5 ± 7.7 days,P =0.001,respectively).The weight at surgery also was lower in the integrated group than in the non-integrated group (3.3 ± 0.4 kg vs.3.6± 0.6 kg,P =0.010).Longer postoperative recovery time was needed in the integrated group,with a median mechanical ventilation time of 97 h (interquartile range 51-259 h) vs.69 h (29-168 h) (P=0.030) and with intensive care unit time of 13.0 days(8.0-21.0 days) vs.9.0 days (4.5-16.0 days) (P=0.048).No significant difference was observed in the all-cause mortality(2.1 vs.8.7％,P =0.238),but it was significantly lower in the integrated group for transposition of the great arteries (0 vs.18.8％,log rank P=0.032).Conclusions The prenatal diagnosis and postnatal treatment integrated model could significantly shorten the diagnosis and hospitalization interval of newborns,and surgical intervention could be performed with a lower risk of death,especially for transposition of the great arteries.
文献关键词：
中图分类号：
作者姓名：
Guan-Xi Wang;Kai Ma;Kun-Jing Pang;Xu Wang;Lei Qi;Yang Yang;Feng-Qun Mao;Shou-Jun Li
作者机构：
Pediatric Cardiac Surgery Center,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,No.167 Beilishi Street,Xicheng District,Beijing 100037,China;Department of Echocardiography,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,No.167 Beilishi Street,Xicheng District,Beijing 100037,China
文献出处：
引用格式：
[1]Guan-Xi Wang;Kai Ma;Kun-Jing Pang;Xu Wang;Lei Qi;Yang Yang;Feng-Qun Mao;Shou-Jun Li-.Two approaches for newborns with critical congenital heart disease:a comparative study)[J].世界儿科杂志（英文版）,2022(01):59-66
A类：
B类：
Two,approaches,newborns,critical,congenital,heart,disease,comparative,study,Background,Prenatal,diagnosis,planned,peripartum,care,unexplored,concept,China,This,aimed,evalu,effects,prenatal,postnatal,treatment,integrated,model,Methods,medical,records,neonates,days,admitted,Fuwai,Hospital,were,reviewed,retrospectively,from,Janu,ary,December,patients,divided,into,group,Results,age,admission,surgery,earlier,than,respectively,weight,also,was,lower,Longer,postoperative,recovery,needed,median,mechanical,ventilation,interquartile,range,intensive,unit,No,difference,observed,cause,mortality,but,significantly,transposition,great,arteries,log,rank,Conclusions,could,shorten,hospitalization,interval,surgical,intervention,performed,risk,death,especially
AB值：
0.496519
相似文献
机标中图分类号，由域田数据科技根据网络公开资料自动分析生成，仅供学习研究参考。
