Pre-discharge car seat tolerance screening in infants with CHD: a single-centre review

Nicholas V Barresi1, Mary D Schiff2, Frederick Roberts2

  • 1Division of Pediatric Cardiology, https://ror.org/03763ep67Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA.

Cardiology in the Young
|January 26, 2026
PubMed

Insights

Infants with congenital heart disease (CHD) have a higher car seat screening failure rate than premature infants. DiGeorge Syndrome was the only comorbidity linked to failure, which can delay hospital discharge.

Area of Science:

  • Pediatrics
  • Cardiology
  • Neonatal Care

Background:

  • Infants with congenital heart disease (CHD) require careful assessment before discharge.
  • Car seat tolerance screening is crucial for infant safety, but data on CHD populations is limited.

Purpose of the Study:

  • To determine the car seat screening failure rate in infants with CHD.
  • To identify clinical factors associated with car seat test failure.
  • To assess the impact of failed car seat tests on hospital discharge.

Main Methods:

  • A retrospective study of 193 infants with CHD was conducted.
  • Infants were discharged from a general cardiology service.
  • Statistical analyses compared characteristics between infants who passed and failed car seat testing.

Main Results:

  • The car seat test failure rate was 6.2%.
  • No significant differences were found in birthweight, prematurity, or cardiac physiology between passing and failing groups.
  • DiGeorge Syndrome was the only comorbidity significantly associated with a higher failure rate (25.0% vs 2.2%).
  • A failed test delayed hospital discharge by a median of 1.5 days.

Conclusions:

  • The car seat test failure rate in infants with CHD is higher than in premature infants.
  • Cardiac physiology did not correlate with car seat test failure.
  • DiGeorge Syndrome is a key comorbidity associated with car seat test failure in this population.
  • Failed car seat tests can prolong hospital stays.
Abstract

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