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. 2020 Oct 30;46(6):599–608. doi: 10.5271/sjweh.3912

Table 2a.

Prevalence, crude and adjusted odds ratio (ORcrude/ORadj) of maternal occupational exposure and congenital heart defects (CHD) in the offspring. [CI=confidence interval; d-TGA=dextro-transposition of the great arteries; LVOTO/RVOTO=left/right ventricular outflow tract obstruction; HLHS=hypoplastic left heart syndrome; P(v)S=pulmonary (valve) stenosis; CoA=coarctation of aorta; VSD=ventricular septal defect; ASD=atrial septal defect; AVSD=atrioventricular septal defect; APVR=anomalous pulmonary venous return; NC=not calculated due to sparse data]. BOLD indicates significant values (P<0.05).

CHD classification Total Any occupational exposure Organic dust exposure


N % ORcrude 95% CI ORadj a 95% CI N % ORcrude 95% CI ORadj a 95% CI
Controls 5602 1992 35.6 Ref Ref 1617 28.9 Ref Ref
Total CHD 1174 442 37.6 1.09 0.96–1.25 1.04 0.90–1.20 356 30.3 1.07 0.94–1.23 1.10 0.95–1.28
Conotruncal 174 69 39.7 1.19 0.88–1.62 1.13 0.81–1.57 57 32.8 1.20 0.87–1.66 1.30 0.93–1.82
d-TGA 74 28 37.8 1.10 0.69–1.77 1.00 0.60–1.68 23 31.1 1.11 0.68–1.82 1.18 0.70–1.99
Tetralogy of Fallot 60 28 46.7 1.59 0.95–2.64 1.50 0.88–2.57 23 38.3 1.53 0.91–2.59 1.68 0.98–2.89
Truncus arteriosus 10 5 50.0 1.81 0.52–6.27 1.46 0.41–5.24 <5 NC NC
LVOTO 173 62 35.8 1.01 0.74–1.39 0.94 0.67–1.31 53 30.6 1.09 0.78–1.51 1.14 0.80–1.60
HLHS 50 19 38.0 1.11 0.63–1.97 0.86 0.47–1.57 15 30.0 1.06 0.58–1.94 0.87 0.46–1.67
Aortic stenosis 31 5 16.1 0.35 0.13–0.91 0.32 0.11–0.94 <5 NC NC
Coarctation of aorta 42 18 42.9 1.36 0.74–2.51 1.33 0.70–2.54 17 40.5 1.68 0.90–3.11 1.90 1.01–3.59
Bicuspid aortic valve 42 16 38.1 1.12 0.60–2.08 1.14 0.59–2.18 14 33.3 1.23 0.65–2.35 1.37 0.70–2.65
RVOTO 139 58 41.7 1.30 0.92–1.83 1.24 0.87–1.77 49 35.3 1.34 0.94–1.91 1.35 0.94–1.95
P(v)S 104 44 42.3 1.33 0.90–1.97 1.26 0.84–1.90 37 35.6 1.36 0.91–2.04 1.36 0.89–2.07
Pulmonary atresia 13 6 46.2 1.55 0.52–4.63 1.37 0.45–4.20 6 46.2 2.11 0.71–6.30 2.13 0.70–6.43
Septal 544 194 35.7 1.01 0.84–1.21 0.96 0.79–1.17 150 27.6 0.94 0.77–1.14 0.97 0.79–1.19
Perimembranous VSD 117 51 43.6 1.40 0.97–2.03 1.34 0.91–1.99 40 34.2 1.28 0.87–1.88 1.40 0.94–2.10
Muscular VSD 248 79 31.9 0.85 0.65–1.11 0.87 0.65–1.16 63 25.4 0.84 0.63–1.12 0.90 0.67–1.22
Other VSD 78 27 34.6 0.96 0.60–1.53 0.98 0.60–1.61 18 23.1 0.74 0.44–1.26 0.82 0.47–1.41
ASD 98 36 36.7 1.05 0.70–1.59 0.93 0.60–1.43 28 28.6 0.99 0.63–1.53 0.95 0.60–1.51
AVSD 28 7 25.0 0.60 0.26–1.42 0.67 0.27–1.63 6 21.4 0.67 0.27–1.66 0.81 0.32–2.06
APVR 17 9 52.9 2.04 0.79–5.29 1.88 0.69–5.10 8 47.1 2.19 0.84–5.69 1.99 0.73–5.41
Total APVR 11 5 45.5 1.51 0.46–4.96 1.48 0.44–4.97 5 45.5 2.05 0.63–6.74 2.03 0.61–6.76
Complex 45 19 42.2 1.32 0.73–2.40 1.30 0.68–2.47 16 35.6 1.36 0.74–2.51 1.39 0.72–2.70
Single ventricle 14 8 57.1 2.42 0.84–6.97 2.54 0.80–8.11 6 42.9 1.85 0.64–5.34 2.13 0.69–6.54
Associations
CoA + VSD 15 7 46.7 1.59 0.57–4.38 1.69 0.59–4.83 5 33.3 1.23 0.42–3.61 1.36 0.56–4.08
P(v)S + VSD 19 11 57.9 2.49 1.00–6.21 3.06 1.20–7.81 9 47.4 2.22 0.90–5.47 2.68 1.07–6.73
a

Adjusted for child sex, maternal age at delivery (as continuous variable), education level, maternal BMI (as continuous variable), smoking and alcohol use during pregnancy, folic acid supplementation, and fertility problems.