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. 2019 May 10;2(5):e193667. doi: 10.1001/jamanetworkopen.2019.3667

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.

a

Excludes Quebec.

b

Adjusted for Obstetric Comorbidity Index, mode of delivery, and year of birth.

c

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.

d

Sample size less than 5.