000			03045na a2200289 4500
003			H12O
005			20210625062801.0
008			130622s2011 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aCruz Bértolo, Javier de la _91783 _eEpidemiología Clínica
100			_9895 _aEscribano Abad, David _eObstetricia y Ginecología
100			_aGalindo Izquierdo, Alberto _9896 _eObstetricia y Ginecología
100			_aHerráiz García, Ignacio _9894 _eObstetricia y Ginecología
100			_9821 _aLora Pablos, David _eInstituto Investigación I+12
245	0	0	_aPrenatal detection of congenital heart defects: A survey on clinical practice in Spain _h[artículo]
260			_bFetal Diagnosis and Therapy, _c2011
300			_a29(4):287-295.
500			_aFormato Vancouver: Galindo A, Herraiz I, Escribano D, Lora D, Melchor JC, de la Cruz J. Prenatal detection of congenital heart defects: a survey on clinical practice in Spain. Fetal Diagn Ther. 2011;29(4):287-95.
501			_aPMID: 21196702
504			_aContiene 36 referencias
520			_aIntroduction: Second-trimester fetal screening for congenital heart defects (CHD) included in routine obstetric care provides relevant information for decision making. The aim of this study was to describe the clinical practice of prenatal detection of CHD in terms of the process and results. Methods: The characteristics and results of ultrasound screening for major CHD were documented using data provided by hospitals for a national survey in Spain over the period of 2004-2006. Sixty-seven percent of eligible centers (56/83), covering 36% of total births nationwide, responded to the survey; 33 of these returned complete data regarding the screening results. Results: The number of major CHD occurring in the centers which provided data with results of screening was 1,060. The overall prenatal detection rate of major CHD was 65.7% (95% CI 57.8-74.7), but the detection rate in the routine second-trimester scan was 52.6% (95% CI 45.6-60.8). In 61% of these cases the parents chose to terminate the pregnancy. Two independent predictors of increased detection by center were identified: first, the uniformity and systematic character of the examination of the heart showing at least the 4-chamber view and outflow tracts (prevalence ratio 1.3, 95% CI 1.0-1.8) and second, the local availability of specialists in fetal echocardiography (prevalence ratio 1.4, 95% CI 1.1-1.9). Conclusions: The detection of major CHD in the first half of pregnancy has an important impact on parental decision making. The prenatal screening program for CHD should be globally strengthened in terms of qualifications and methodological approaches. To improve its performance locally, close collaboration with fetal heart specialists should be promoted.
710			_9625 _aInstituto de Investigación imas12
710			_9427 _aServicio de Obstetricia y Ginecología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/4/pc4280.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c4280 _d4280