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Congenital Heart Disease: Likelihood Ratios

Introduction: None written.

[Edit Diagnosis] [Merge dx] [Add prevalence]

Tags: Cardiac Problem Congenital Tag this Diagnosis.

Prevalence

Population / CalculatorPrevalence Comments / Study / Link
Infants 1.1% J Pediatr. 2008 Jun;152(6):761-5. PMID: 18492511
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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

Finding +LR-LR Comments, Study
Pulse Oximetry on First Day of Life Edit 128.50.2

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 Edit Sensitivity = 65%

specificity not assessed

Study: Arch Dis Child Fetal Neonatal Ed. 1999 Jan;80(1):F49-53. PMID: 10325813

Routine Neonatal Exam Edit 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 Edit Sensitivity = 33%

specificity not assessed

Study: Arch Dis Child Fetal Neonatal Ed. 1999 Jan;80(1):F49-53. PMID: 10325813