Trends of mortality rate in patients with congenital heart defects in Germany —analysis of nationwide data of the Federal Statistical Office of Germany
ConclusionMortality in CHD patients decreased significantly between 1998 and 2010, but a substantial number of deaths still occurred and even significantly increased in the last 3  years of the observation period particularly in neonates and infants. This renewed slight increase in mortality rate during the last years was influenced mainly by high-risk neonates and infants. Assessment of factors influencing the mortality rate trends in association with CHD in Germany is urge ntly needed. Obligatory nationwide registration of death cases in relation to surgical and catheter interventions in CHD patients is necessary to pro...
Source: Clinical Research in Cardiology - March 4, 2024 Category: Cardiology Source Type: research

Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research

Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research

Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research

Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research

Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research

Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research

Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research

Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research

Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research

Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis
CONCLUSION: For pregnant patients with first-trimester Hb A1c levels lower than 6.5%, universal fetal echocardiogram was not cost effective, whereas, for those with first-trimester Hb A1c levels higher than 9.0%, universal fetal echocardiogram was cost effective. For those with intermediate Hb A1c levels, universal fetal echocardiogram was cost effective in about 50% of cases; therefore, clinical judgment based on individual patient values, willingness to pay to detect congenital heart disease, and resource availability needs to be considered.PMID:38422504 | DOI:10.1097/AOG.0000000000005538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - February 29, 2024 Category: OBGYN Authors: Leah M Savitsky Caitlin Hamilton Mary Sterrett Kelsey Olerich Kimberly Ma Catherine M Albright Source Type: research

HBNET: A blended ensemble model for the detection of cardiovascular anomalies using phonocardiogram
CONCLUSION: The results indicate that the HbNet model exhibits a high level of efficacy in the early detection of cardiac disorders. Results also imply that HbNet has the potential to serve as a valuable tool for the development of decision-support systems that aid medical practitioners in confirming their diagnoses. This method makes it easier for medical professionals to diagnose and initiate prompt treatment while performing preliminary auscultation and reduces unnecessary echocardiograms.PMID:38393859 | DOI:10.3233/THC-231290 (Source: Technology and Health Care)
Source: Technology and Health Care - February 23, 2024 Category: Medical Devices Authors: Ann Nita Netto Lizy Abraham Saji Philip Source Type: research

HBNET: A blended ensemble model for the detection of cardiovascular anomalies using phonocardiogram
CONCLUSION: The results indicate that the HbNet model exhibits a high level of efficacy in the early detection of cardiac disorders. Results also imply that HbNet has the potential to serve as a valuable tool for the development of decision-support systems that aid medical practitioners in confirming their diagnoses. This method makes it easier for medical professionals to diagnose and initiate prompt treatment while performing preliminary auscultation and reduces unnecessary echocardiograms.PMID:38393859 | DOI:10.3233/THC-231290 (Source: Technology and Health Care)
Source: Technology and Health Care - February 23, 2024 Category: Medical Devices Authors: Ann Nita Netto Lizy Abraham Saji Philip Source Type: research

HBNET: A blended ensemble model for the detection of cardiovascular anomalies using phonocardiogram
CONCLUSION: The results indicate that the HbNet model exhibits a high level of efficacy in the early detection of cardiac disorders. Results also imply that HbNet has the potential to serve as a valuable tool for the development of decision-support systems that aid medical practitioners in confirming their diagnoses. This method makes it easier for medical professionals to diagnose and initiate prompt treatment while performing preliminary auscultation and reduces unnecessary echocardiograms.PMID:38393859 | DOI:10.3233/THC-231290 (Source: Technology and Health Care)
Source: Technology and Health Care - February 23, 2024 Category: Medical Devices Authors: Ann Nita Netto Lizy Abraham Saji Philip Source Type: research

HBNET: A blended ensemble model for the detection of cardiovascular anomalies using phonocardiogram
CONCLUSION: The results indicate that the HbNet model exhibits a high level of efficacy in the early detection of cardiac disorders. Results also imply that HbNet has the potential to serve as a valuable tool for the development of decision-support systems that aid medical practitioners in confirming their diagnoses. This method makes it easier for medical professionals to diagnose and initiate prompt treatment while performing preliminary auscultation and reduces unnecessary echocardiograms.PMID:38393859 | DOI:10.3233/THC-231290 (Source: Technology and Health Care)
Source: Technology and Health Care - February 23, 2024 Category: Medical Devices Authors: Ann Nita Netto Lizy Abraham Saji Philip Source Type: research