Evidence map›Paper›PMID 40314351›Full record

ArticleJournal of the American Heart Association2025

Impact of COVID-19 on Prenatal Diagnosis and Surgical Outcomes of Congenital Heart Disease: Fetal Heart Society and Society of Thoracic Surgeons Collaborative Study.

Bhawna Arya, Miza Salim Hammoud, Andrew J Toth, Joyce Woo, Matthew Campbell, Angira Patel, Lindsay A Edwards, Lindsay Freud, Rupali Gandhi, Anita Krishnan and 8 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Bhawna AryaDepartment of Pediatrics Seattle Children's Hospital and the University of Washington School of Medicine Seattle WA USA.ORCID 0000-0002-8552-5396
Miza Salim HammoudDivision of Pediatric Cardiac Surgery, Heart, Vascular & Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0001-7312-4694
Andrew J TothDepartment of Quantitative Health Sciences Cleveland Clinic Cleveland OH USA.ORCID 0000-0001-8373-0559
Joyce WooDivision of Cardiology Ann & Robert H. Lurie Children Hospital of Chicago and Northwestern University Feinberg School of Medicine Chicago IL USA.ORCID 0000-0001-6958-4903
Matthew CampbellDepartment of Pediatrics Texas Children's Hospital, Baylor College of Medicine Houston TX USA.ORCID 0000-0002-2311-6482
Angira PatelDivision of Cardiology Ann & Robert H. Lurie Children Hospital of Chicago and Northwestern University Feinberg School of Medicine Chicago IL USA.ORCID 0000-0001-6760-0340
Lindsay A EdwardsDepartment of Pediatrics, Division of Pediatric Cardiology Duke University School of Medicine Durham NC USA.ORCID 0000-0003-0555-0127
Lindsay FreudDivision of Cardiology, The Hospital for Sick Children University of Toronto Toronto Canada.ORCID 0000-0002-1221-081X
Rupali GandhiDivision of Cardiology, Advocate Children's Hospital Oak Lawn IL USA.ORCID 0000-0001-8595-4329
Anita KrishnanDivision of Cardiology, Children's National Hospital George Washington University School of Medicine, and Health Sciences Washington DC USA.ORCID 0000-0002-8662-7810
Shabnam PeyvandiDepartment of Pediatrics University of California San Francisco CA USA.ORCID 0000-0003-1379-544X
Nelangi PintoDepartment of Pediatrics Seattle Children's Hospital and the University of Washington School of Medicine Seattle WA USA.ORCID 0000-0002-6450-916X
Christina RonaiDepartment of Cardiology, Boston Children's Hospital, Department of Pediatrics Harvard Medical School Boston MA USA.ORCID 0000-0002-1503-7100
Kristen Sexson TejtelDepartment of Pediatrics Texas Children's Hospital, Baylor College of Medicine Houston TX USA.ORCID 0000-0001-7584-8450
Anita Moon-GradyDepartment of Pediatrics University of California San Francisco CA USA.ORCID 0000-0003-3822-693X
Mary T DonofrioDivision of Cardiology, Children's National Hospital George Washington University School of Medicine, and Health Sciences Washington DC USA.ORCID 0000-0002-0942-5481
Shubhika SrivastavaDepartment of Cardiovascular Services Center for Cardiovascular Research and Innovation Nemours Children's Health Wilmington DE USA.ORCID 0000-0002-8206-431X
Tara KaramlouDivision of Pediatric Cardiac Surgery, Heart, Vascular & Thoracic Institute Cleveland Clinic Cleveland OH USA.

Funding

Prenatal Care and Postnatal Outcomes for Publicly Insured Children with Congenital Heart DefectsK01HL171819 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI Joyce L Woo · 2025 to 2026
$337k
NHLBI NIH HHS K01 HL171819
6 · The paper itself

Abstract

backgroundFetal echocardiography is the mainstay of prenatal diagnosis of congenital heart disease. The COVID-19 pandemic led to shifts in triage of prenatal services. Our objective was to evaluate the impact of COVID-19 restrictions on prenatal diagnosis, surgical outcomes, and disparities in neonatal critical congenital heart disease (CCHD) management in the United States during the pandemic's first year. METHODS AND

resultsA multi-institutional retrospective cohort study compared neonatal CCHD outcomes (requiring surgery within 60 days of birth) 1 year prior (prepandemic era) and during the peak pandemic era, supplemented by a Fetal Heart Society survey assessing regional practice changes. Data on prenatal diagnosis, demographics, outcomes, and 2020 state Area Deprivation Index were analyzed using Wilcoxon rank sum and χ

conclusionsAlthough pandemic-driven care delivery adjustments affected perinatal cardiology referrals and triage, prenatal diagnosis, perioperative outcomes, and survival remained robust. The management of CCHD demonstrates health care resilience, maintaining core prenatal and perioperative care. Regional variations highlight the need for targeted strategies to address disparities during health care crises.

Indexed as

Cardiac Surgical ProceduresCOVID-19Heart Defects, CongenitalPrenatal DiagnosisUltrasonography, PrenatalEchocardiographyFemaleHealthcare DisparitiesHumansInfant, NewbornMalePregnancyRetrospective StudiesSARS-CoV-2Societies, MedicalThoracic SurgeryCOVID‐19 impactfetal cardiologyneonatal critical congenital heart disease outcomes

Identifiers

PMID40314351
PMCPMC12184263

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.