母亲住宿与未能检测胎儿先天性心脏病的关联
Diego A Trejo1, Ling Li2, Jeffrey A Robinson2
1Department of Pediatrics, Children's Nebraska, 8200 Dodge Street, Omaha, NE, 68114, USA. diegotrejo01@gmail.com.
Pediatric cardiology
|August 14, 2025
概括
在农村地区,先天性心脏病 (CHD) 的产前查效率较低. 农村社区母亲的婴儿面临更高的风险,因为慢性心脏病的诊断迟到.
科学领域:
- 心脏病学 心脏病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 对先天性心脏病 (CHD) 和严重先天性心脏病 (CCHD) 的假阴性查可能导致不良结果.
- 母亲社区环境对产前心血管疾病查准确性的影响尚不清楚.
研究的目的:
- 调查母亲居住地 (农村与城市) 与产前心血管疾病查的准确性之间的关联.
- 根据地理位置,识别产前心血管疾病检测率的差异.
主要方法:
- 在儿童内布拉斯加州的产前和产后CHD诊断的回顾性审查 (2024年1月至12月).
- 使用美国农业部农村-城市连续代码 (RUCC) 将孕产妇住所分为农村或城市.
- 奇方位分析比较了农村和城市社区之间的产前冠状动脉疾病检测率.
主要成果:
- 总共有247例病例被分析 (180例产前,67例产后诊断).
- 农村母亲的住所与产前心血管疾病检测失败率更高 (p=0.013) 有关.
- 没有发现母亲的地理位置或产科服务的位置和产前诊断的CCHD之间有显著的关联.
结论:
- 在居住在农村社区的母亲的婴儿中,产前心血管疾病检测率明显较低.
- 农村地区的婴儿面临延迟心血管疾病诊断和随后并发症的风险增加.
- 需要有针对性的战略来加强在服务不足的农村地区的产前心脏查.
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