Neuroprotective Drugs in Infants With Severe Congenital Heart Disease: A Systematic Review

Objectives This review aimed to present the clinical and health-care outcomes for patients with congenital heart disease (CHD) who use home monitoring technologies. Methods Five databases were systematically searched from inception to November 2020 for quantitative studies in this area. Data were extracted using a pre-formatted data-collection table which included information on participants, interventions, outcome measures and results. Risk of bias was determined using the Cochrane Risk of Bias 2 tool for randomised controlled trials (RCTs), the Newcastle–Ottawa Quality Assessment Scale for cohort studies and the Institute of Health Economics quality appraisal checklist for case-series studies. Data synthesis: Twenty-two studies were included in this systematic review, which included four RCTs, 12 cohort studies and six case-series studies. Seventeen studies reported on mortality rates, with 59% reporting that home monitoring programmes were associated with either a significant reduction or trend for lower mortality and 12% reporting that mortality trended higher. Fourteen studies reported on unplanned readmissions/health-care resource use, with 29% of studies reporting that this outcome was significantly decreased or trended lower with home monitoring and 21% reported an increase. Impact on treatment was reported in 15 studies, with 67% of studies finding that either treatment was undertaken significantly earlier or significantly more interventions were undertaken in the home monitoring groups. Conclusion The use of home monitoring programmes may be beneficial in reducing mortality, enabling earlier and more timely detection and treatment of CHD complication. However, currently, this evidence is limited due to weakness in study designs.

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Cardiovascular cast model fabrication and casting effectiveness evaluation in fetus with severe congenital heart disease or normal heart

Journal of Huazhong University of Science and Technology [Medical Sciences] ◽

10.1007/s11596-016-1577-8 ◽

2016 ◽

Vol 36 (2) ◽

pp. 259-264 ◽

Cited By ~ 10

Author(s):

Yu Wang ◽

Hai-yan Cao ◽

Ming-xing Xie ◽

Lin He ◽

Wei Han ◽

...

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Effectiveness Evaluation ◽

Normal Heart ◽

Cast Model ◽

Severe Congenital Heart Disease

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Experiences and Outcomes of Transition from Pediatric to Adult Health Care Services for Young People with Congenital Heart Disease: A Systematic Review

Congenital Heart Disease ◽

10.1111/chd.12251 ◽

2015 ◽

Vol 10 (5) ◽

pp. 413-427 ◽

Cited By ~ 81

Author(s):

Emily Heery ◽

Aisling M. Sheehan ◽

Alison E. While ◽

Imelda Coyne

Keyword(s):

Systematic Review ◽

Health Care ◽

Congenital Heart Disease ◽

Heart Disease ◽

Young People ◽

Health Care Services ◽

Congenital Heart ◽

Adult Health ◽

Care Services ◽

Adult Health Care

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Discontinuity of Cardiac Follow‐Up in Young People With Congenital Heart Disease Transitioning to Adulthood: A Systematic Review and Meta‐Analysis

Journal of the American Heart Association ◽

10.1161/jaha.120.019552 ◽

2021 ◽

Author(s):

Philip Moons ◽

Sandra Skogby ◽

Ewa‐Lena Bratt ◽

Liesl Zühlke ◽

Ariane Marelli ◽

...

Keyword(s):

United States ◽

Systematic Review ◽

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Heart Defects ◽

Meta Analysis ◽

Transition Programs ◽

The United States

Background The majority of people born with congenital heart disease require lifelong cardiac follow‐up. However, discontinuity of care is a recognized problem and appears to increase around the transition to adulthood. We performed a systematic review and meta‐analysis to estimate the proportion of adolescents and emerging adults with congenital heart disease discontinuing cardiac follow‐up. In pooled data, we investigated regional differences, disparities by disease complexity, and the impact of transition programs on the discontinuity of care. Methods and Results Searches were performed in PubMed, Embase, Cinahl, and Web of Science. We identified 17 studies, which enrolled 6847 patients. A random effects meta‐analysis of single proportions was performed according to the DerSimonian‐Laird method. Moderator effects were computed to explore sources for heterogeneity. Discontinuity proportions ranged from 3.6% to 62.7%, with a pooled estimated proportion of 26.1% (95% CI, 19.2%–34.6%). A trend toward more discontinuity was observed in simple heart defects (33.7%; 95% CI, 15.6%–58.3%), compared with moderate (25.7%; 95% CI, 15.2%–40.1%) or complex congenital heart disease (22.3%; 95% CI, 16.5%–29.4%) ( P =0.2372). Studies from the United States (34.0%; 95% CI, 24.3%–45.4%), Canada (25.7%; 95% CI, 17.0%–36.7%), and Europe (6.5%; 95% CI, 5.3%–7.9%) differed significantly ( P =0.0004). Transition programs were shown to have the potential to reduce discontinuity of care (12.7%; 95% CI, 2.8%–42.3%) compared with usual care (36.2%; 95% CI, 22.8%–52.2%) ( P =0.1119). Conclusions This meta‐analysis showed that there is a high proportion of discontinuity of care in young people with congenital heart disease. The highest discontinuity proportions were observed in studies from the United States and in patients with simple heart defects. It is suggested that transition programs have a protective effect. Registration URL: www.crd.york.ac.uk/prospero . Unique identifier: CRD42020182413.

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