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- W2000437480 abstract "After completing this article, readers should be able to: 1. Describe the incidence of low birthweight in infants who have congenital heart disease.2. Describe the mortality rates of infants who have congenital heart disease and are low birthweight.3. List the most common accompanying condition that can complicate management in infants who have congenital heart disease.4. Delineate the most common complicating condition in infants who have left-sided obstructive lesions.5. Review the results of surgical strategies for congenital heart disease.Many infants who have congenital heart disease (CHD) are born low birthweight (LBW) at 2,500 g or less. The increased incidence of LBW in infants who have CHD has been well documented. The Baltimore-Washington Infant Study reported an incidence ranging from 6% to 23%, depending on the heart defect. (1) Infants may be LBW either due to prematurity or being small for gestational age (SGA). In addition, up to 30% of LBW infants who have CHD have associated genetic syndromes or other major congenital anomalies that put them at risk for being LBW or SGA.LBW has been shown in many studies to be a risk factor for increased mortality in patients undergoing surgery for CHD. This increased risk for mortality is probably multifactorial. Morbidity also probably is increased, but few studies have evaluated this factor with a control population. Patients who are SGA are at higher risk for morbidity and mortality than their term counterparts, even without CHD, probably related to the cause of the growth failure. Among LBW patients who have CHD, there is conflicting evidence of the influence of genetic syndromes or major extracardiac anomalies on mortality, probably related to the aggressiveness of the care. Thus, many factors must be taken into consideration when caring for LBW infants who have CHD in terms of developmentally appropriate medical management, timing of …" @default.
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- W2000437480 date "2005-07-01" @default.
- W2000437480 modified "2023-09-26" @default.
- W2000437480 title "Management Considerations and Outcomes of Low-birthweight Infants Who Have Congenital Heart Disease" @default.
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- W2000437480 doi "https://doi.org/10.1542/neo.6-7-e332" @default.
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