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Article: Birthweight distribution in southern Chinese infants with symptomatic congenital heart disease

TitleBirthweight distribution in southern Chinese infants with symptomatic congenital heart disease
Authors
KeywordsBirthweight
Chinese
Congenital heart disease
Ethnicity
Infants
Issue Date2003
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JPC
Citation
Journal Of Paediatrics And Child Health, 2003, v. 39 n. 3, p. 191-196 How to Cite?
AbstractObjective: Western infants with congenital heart disease have frequently been reported to have a low birthweight for gestational age. Studies in Asian infants seem to be lacking in this area. This is the first extensive study presenting the birthweight distribution of Chinese newborns with symptomatic congenital heart disease. Methods: The birth data of 454, mainly southern-Chinese infants with symptomatic cardiovascular defects, born between 1990 and 1995 and admitted to Grantham Hospital, Hong Kong in 1994 and 1995, were analysed retrospectively. Infants with (non)-genetic syndromes or other major extracardiac malformations were excluded. Results: Fifteen per cent of all newborns had a birthweight below the reference mean of - 2 Z-score. After correction for length of gestation, no significant difference could be detected in birthweight between the cyanotic and acyanotic groups, nor between the different haemodynamic disturbances. Infants with atrial or ventricular septal defects, tetralogy of Fallot, pulmonary atresia with ventricular septal defect, heart with univentricular atrio-ventricular connection or double outlet right ventricle showed significant birthweight deficits. Transposition of the great arteries was not related to being small for gestational age. Conclusions: Similar to Western infants, prenatal growth impairment was a common feature in Chinese infants with symptomatic congenital heart disease. The birthweight distribution in Chinese might be comparable to that in Western populations. Exceptions are possibly the high frequency of low birthweight in Chinese newborns with atrial septal defect or a single-ventricle abnormality. Further studies on fetal anthropometry and haemodynamics are necessary to provide insight into the relation between cardiovascular malformations and being small for gestational age.
Persistent Identifierhttp://hdl.handle.net/10722/87641
ISSN
2015 Impact Factor: 1.477
2015 SCImago Journal Rankings: 0.692
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorJacobs, EGJen_HK
dc.contributor.authorLeung, MPen_HK
dc.contributor.authorKarlberg, Jen_HK
dc.date.accessioned2010-09-06T09:32:26Z-
dc.date.available2010-09-06T09:32:26Z-
dc.date.issued2003en_HK
dc.identifier.citationJournal Of Paediatrics And Child Health, 2003, v. 39 n. 3, p. 191-196en_HK
dc.identifier.issn1034-4810en_HK
dc.identifier.urihttp://hdl.handle.net/10722/87641-
dc.description.abstractObjective: Western infants with congenital heart disease have frequently been reported to have a low birthweight for gestational age. Studies in Asian infants seem to be lacking in this area. This is the first extensive study presenting the birthweight distribution of Chinese newborns with symptomatic congenital heart disease. Methods: The birth data of 454, mainly southern-Chinese infants with symptomatic cardiovascular defects, born between 1990 and 1995 and admitted to Grantham Hospital, Hong Kong in 1994 and 1995, were analysed retrospectively. Infants with (non)-genetic syndromes or other major extracardiac malformations were excluded. Results: Fifteen per cent of all newborns had a birthweight below the reference mean of - 2 Z-score. After correction for length of gestation, no significant difference could be detected in birthweight between the cyanotic and acyanotic groups, nor between the different haemodynamic disturbances. Infants with atrial or ventricular septal defects, tetralogy of Fallot, pulmonary atresia with ventricular septal defect, heart with univentricular atrio-ventricular connection or double outlet right ventricle showed significant birthweight deficits. Transposition of the great arteries was not related to being small for gestational age. Conclusions: Similar to Western infants, prenatal growth impairment was a common feature in Chinese infants with symptomatic congenital heart disease. The birthweight distribution in Chinese might be comparable to that in Western populations. Exceptions are possibly the high frequency of low birthweight in Chinese newborns with atrial septal defect or a single-ventricle abnormality. Further studies on fetal anthropometry and haemodynamics are necessary to provide insight into the relation between cardiovascular malformations and being small for gestational age.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JPCen_HK
dc.relation.ispartofJournal of Paediatrics and Child Healthen_HK
dc.subjectBirthweighten_HK
dc.subjectChineseen_HK
dc.subjectCongenital heart diseaseen_HK
dc.subjectEthnicityen_HK
dc.subjectInfantsen_HK
dc.titleBirthweight distribution in southern Chinese infants with symptomatic congenital heart diseaseen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1034-4810&volume=39&spage=191&epage=196&date=2003&atitle=Birthweight+distribution+in+southern+Chinese+infants+with+symptomatic+congenital+heart+diseaseen_HK
dc.identifier.emailKarlberg, J: jpekarl@hkucc.hku.hken_HK
dc.identifier.authorityKarlberg, J=rp00400en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid12654142-
dc.identifier.scopuseid_2-s2.0-0037394817en_HK
dc.identifier.hkuros76177en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0037394817&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume39en_HK
dc.identifier.issue3en_HK
dc.identifier.spage191en_HK
dc.identifier.epage196en_HK
dc.identifier.isiWOS:000181861700007-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridJacobs, EGJ=7201382540en_HK
dc.identifier.scopusauthoridLeung, MP=7201944800en_HK
dc.identifier.scopusauthoridKarlberg, J=7005218406en_HK

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