Document Detail


Long-term survival of infants with atrioventricular septal defects.
MedLine Citation:
PMID:  20227717     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the variation in survival in infants with atrioventricular septal defects (AVSD) with demographic factors and clinical characteristics, including the presence of Down syndrome. STUDY DESIGN: We selected infants with all types of AVSD with Down syndrome (n = 177) and without Down syndrome (n = 161), born between Jan 1, 1979, and Dec 31, 2003 and identified through the Metropolitan Atlanta Congenital Defects Program (MACDP). Infants were classified by the complexity of their cardiac defects and presence of major non-cardiac malformations. Deaths (n = 111) were identified through 2004 with linkage with state vital records and the National Death Index. Kaplan-Meier survival probabilities and adjusted hazard ratios (HRs) were calculated in relation to demographic and clinical characteristics. RESULTS: Children with AVSD and Down syndrome had a similar overall survival probability (70%) as those without Down syndrome (69%). Mortality was higher in children with a complex AVSD (adjusted HR = 7.0; 95% CI, 3.1-15.5) and in children with > or =2 major non-cardiac malformations (adjusted HR = 3.4; 95% CI, 1.8-6.5) and was lower in children in the 1992 to 2003 birth cohort (adjusted HR = 0.6; 95% CI, 0.4-0.998). CONCLUSIONS: Down syndrome was not a prognostic factor. Our findings might be helpful in assessing the long-term prognosis of infants with AVSD.
Authors:
Assia Miller; Csaba Siffel; Chengxing Lu; Tiffany Riehle-Colarusso; Jaime L Frías; Adolfo Correa
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Publication Detail:
Type:  Journal Article     Date:  2010-03-15
Journal Detail:
Title:  The Journal of pediatrics     Volume:  156     ISSN:  1097-6833     ISO Abbreviation:  J. Pediatr.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-24     Completed Date:  2010-06-17     Revised Date:  2010-07-21    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  994-1000     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Mosby, Inc. All rights reserved.
Affiliation:
Division of Birth Defects and Developmental Disabilities, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. amiller@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Comorbidity
Down Syndrome / epidemiology*,  mortality
Female
Heart Septal Defects, Atrial / epidemiology,  mortality*
Heart Septal Defects, Ventricular / epidemiology,  mortality*
Humans
Infant
Kaplan-Meiers Estimate
Male
Prognosis
Proportional Hazards Models
Risk Factors
Comments/Corrections
Erratum In:
J Pediatr. 2010 Aug;157(2):347

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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