Table 3. Adverse Neonatal Outcomes for Infants Born to Women With Different Subtypes of ACHD in Canada From Fiscal Years 2001-2002 to 2014-2015a.
Participant Group | Outcome | ||||||||
---|---|---|---|---|---|---|---|---|---|
Severe Neonatal Morbidity and Mortality | Perinatal Mortality | Major Visible Congenital Anomalies | |||||||
No. (%) [95% CI, %] | OR (95%CI) | No. (%) [95% CI, %] | OR (95%CI) | No. (%) [95% CI, %] | OR (95%CI) | ||||
Crude | Adjustedb | Crude | Adjustedb | Crude | Adjustedb | ||||
All infants of women without ACHD | 140 307 (5.2) [5.2-5.3] | 1 [Reference] | 1 [Reference] | 6593 (0.2) [0.2-0.3] | 1 [Reference] | 1 [Reference] | 17 197 (0.6) [0.6-0.7] | 1 [Reference] | 1 [Reference] |
All infants of women with any type of ACHD | 241 (11.4) [10.1-12.8]c | 2.3 (2.0-2.6)c | 1.8 (1.6-2.1)c | 17 (0.8) [0.5-1.3]c | 3.2 (2.0-5.2)c | 2.6 (1.6-4.3)c | 27 (1.3) [0.9-1.9]c | 2.0 (1.3-3.0)c | 1.9 (1.3-2.8)c |
Infants of women with a subtype of ACHD | |||||||||
Heterotaxy | 9 (21.4) [11.4-36.5]c | 4.8 (2.3-10.1)c | 4.3 (1.9-9.5)c | NAd | NAd | NAd | NAd | NAd | NAd |
Anomalies of venous return | 35 (8.5) [6.2-11.7]c | 1.7 (1.2-2.4)c | 1.2 (0.9-1.8) | NAd | NAd | NAd | 7 (1.7) [0.8-3.5]c | 2.7 (1.3-5.7)c | 2.5 (1.2-5.2)c |
Anomalies of the atria and interatrial communications | 35 (8.7) [6.3-11.8]c | 1.7 (1.2-2.4)c | 1.3 (0.9-1.8) | NAd | NAd | NAd | 7 (1.7) [8.3-3.6]c | 2.7 (1.3-5.7)c | 2.5 (1.2-5.3)c |
Anomalies of atrioventricular junctions and valves | 110 (7.6) [6.4-9.1]c | 1.5 (1.2-1.8)c | 0.9 (0.7-1.1) | 7 (0.5) [0.2-1.0] | 1.9 (0.9-4.1) | 0.9 (0.4-2.0) | 12 (0.8) [0.5-1.5] | 1.3 (0.7-2.3) | 1.1 (0.6-2.0) |
Complex anomalies of atrioventricular connections | 19 (19.4) [12.7-28.5]c | 4.3 (2.6-7.2)c | 4.1 (2.4-6.9)c | NAd | NAd | NAd | NAd | NAd | NAd |
Functionally univentricular hearts | 32 (21.2) [15.4-28.5]c | 4.8 (3.2-7.1)c | 4.4 (2.9-6.6)c | NAd | NAd | NAd | NAd | NAd | NAd |
Ventricular septal defects | 34 (10.0) [7.2-13.6]c | 2.0 (1.4-2.9)c | 1.7 (1.2-2.4)c | NAd | NAd | NAd | 6 (1.8) [0.8-3.9]c | 2.8 (1.2-6.2)c | 2.6 (1.2-5.8) |
Anomalies of the ventricular outflow tracts | 113 (11.9) [10.0-14.1]c | 2.4 (2.0-3.0)c | 2.0 (1.6-2.4)c | 5 (0.4) [0.2-1.3] | 2.1 (0.9-5.2) | 1.8 (0.7-4.4) | 9 (0.9) [0.5-1.8] | 1.5 (0.8-2.9) | 1.4 (0.7-2.7) |
Anomalies of the extrapericardial arterial trunks | 37 (9,0) [6.6-12.1]c | 1.8 (1.3-2.5)c | 1.4 (1.0-2.0) | NAd | NAd | NAd | 5 (1.2) [0.5-2.9] | 1.9 (0.8-4.6) | 1.8 (0.7-4.3) |
Congenital anomalies of the coronary arteries | 19 (17.6) [11.5-26.0]c | 3.8 (2.3-6.2)c | 3.8 (2.3-6.2)c | NAd | NAd | NAd | NAd | NAd | NAd |
Abbreviations: ACHD, adult congenital heart disease; NA, not applicable; OR, odds ratio.
Excludes Quebec.
Adjusted for Obstetric Comorbidity Index, mode of delivery, and year of birth.
P < .05 for comparison of infants born to women with and without ACHD and infants born to women with specific subtypes of ACHD and women without ACHD.
Sample size less than 5.