Congenital Heart Disease: Likelihood Ratios

Introduction: None written.

Prevalence

The likelihood ratios of findings for Congenital Heart Disease are listed below. See the left navigation bar to change the display.

Good Positive and Negative Likelihood Ratios

128.5

0.2

this is for diagnosis of critical CHDs

most missed are left sided obstructions

along with clinical exam, sensitivity rises to 88.6%

Study: J Pediatr. 2008 Jun;152(6):761-5. PMID: 18492511

Poorly Diagnostic Findings

Finding	+LR	-LR	Comments, Study
Routine Exam at Six Weeks	Sensitivity = 65%		specificity not assessed Study: Arch Dis Child Fetal Neonatal Ed. 1999 Jan;80(1):F49-53. PMID: 10325813
Routine Neonatal Exam	Sensitivity = 45%		specificity not assessed even with abnormal exam, only about a third were directly referred to cardiology Study: Arch Dis Child Fetal Neonatal Ed. 1999 Jan;80(1):F49-53. PMID: 10325813
Symptomatic or Other Congenital Abnormalities	Sensitivity = 33%		specificity not assessed Study: Arch Dis Child Fetal Neonatal Ed. 1999 Jan;80(1):F49-53. PMID: 10325813