Evidence map›Paper›PMID 40790621›Full record

Observational studyBMC cardiovascular disorders2025

Congenital heart disease: epidemiological profile of live births, geographical distribution and temporal trends in Brazil from 2012 to 2022.

Gustavo Henrique Bernardo Cabral, João Victor Nascimento Guerra, Kevin Uchoa Pedrosa, Paloma Luna Maranhão Conrado, Jorge Henrique de Aguiar Fonseca, Valda Lúcia Moreira Luna, Pauliana Valéria Machado Galvão, George Alessandro Maranhão Conrado

Abstract readObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 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. Article
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

8 authors.

Gustavo Henrique Bernardo CabralUniversity of Pernambuco, Serra Talhada Campus, Av. Gregório Ferraz Nogueira S/N, José Tomé de Souza Ramos, Serra Talhada, PE, Brazil.ORCID 0000-0002-5875-5786
João Victor Nascimento GuerraUniversity of Pernambuco, Serra Talhada Campus, Av. Gregório Ferraz Nogueira S/N, José Tomé de Souza Ramos, Serra Talhada, PE, Brazil.ORCID 0000-0002-0411-6604
Kevin Uchoa PedrosaUniversity of Pernambuco, Serra Talhada Campus, Av. Gregório Ferraz Nogueira S/N, José Tomé de Souza Ramos, Serra Talhada, PE, Brazil.ORCID 0000-0002-9045-9557
Paloma Luna Maranhão ConradoUniversity of Pernambuco, Serra Talhada Campus, Av. Gregório Ferraz Nogueira S/N, José Tomé de Souza Ramos, Serra Talhada, PE, Brazil.ORCID 0000-0001-8828-667X
Jorge Henrique de Aguiar FonsecaUniversity of Pernambuco, Serra Talhada Campus, Av. Gregório Ferraz Nogueira S/N, José Tomé de Souza Ramos, Serra Talhada, PE, Brazil.ORCID 0009-0003-0509-9476
Valda Lúcia Moreira LunaUniversity of Pernambuco, Serra Talhada Campus, Av. Gregório Ferraz Nogueira S/N, José Tomé de Souza Ramos, Serra Talhada, PE, Brazil.ORCID 0000-0002-1810-7565
Pauliana Valéria Machado GalvãoSchool of Medical Sciences, University of Pernambuco, Santo Amaro Campus, R. Arnóbio Marquês, 310, Santo Amaro, Recife, PE, Brazil. pauliana.galvao@upe.br.ORCID 0000-0002-4418-218X
George Alessandro Maranhão ConradoUniversity of Pernambuco, Serra Talhada Campus, Av. Gregório Ferraz Nogueira S/N, José Tomé de Souza Ramos, Serra Talhada, PE, Brazil.ORCID 0000-0001-6649-577X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital Heart Diseases (CHD) are cardiac and/or intrathoracic vessel structural malformations. Their etiology is predominantly multifactorial, arising from a complex interplay between genetics and environmental factors.

objectiveTo analyze the epidemiological profile, spatial distribution, and temporal trend of reported live births with CHD between 2012 and 2022 nationwide.

methodsThis study employed a cross-sectional, observational, descriptive design with a quantitative approach. Data on live births were obtained from the Live Birth Information System. The epidemiological profile, spatial distribution, and temporal trend were calculated. The Prais-Winsten generalized linear regression model was applied modelling on the basis of annual prevalence.

resultsBetween 2012 and 2022, 23,976 notifications of CHD were reported in Brazil. For the profile, the prevalence was greater in pregnant women over 35 years, yellow and white skin color patients, divorced, with more than 12 years of formal education. The prevalence of CHD in current pregnancies was higher among triplets and higher-order multiples, women with seven or more prenatal visits, deliveries by cesarean section, nonhospital pregnancies, and fetuses presenting in pelvic or podalic positions. Affected neonates were predominantly male, preterm, had extremely low birth weights, and had first- and fifth-minute Apgar scores between 0 and 2 and 3-5, respectively. The most common CHD was septal defects. In terms of spatial distribution, Brazil had a prevalence of 7.65 per 10,000 live births. Southeast and São Paulo presented the highest prevalence rates in the Brazilian region and state, respectively. The temporal trend was increasing in all brazilian regions, with a national EAPC = 13.83; 95% CI = 13.81-13.84; adjusted R² = 0.88. FINAL CONSIDERATIONS: The results highlight the importance of knowledge about CHD, which is essential for planning and implementing effective healthcare strategies for affected neonates. This involves strengthening the training of primary healthcare professionals in prenatal care and expanding neonatal service capacity to ensure early diagnosis and appropriate early clinical management.

Indexed as

Heart Defects, CongenitalLive BirthAdultBrazilCross-Sectional StudiesFemaleHumansInfant, NewbornMalePregnancyPrevalenceRisk FactorsSpatio-Temporal AnalysisTime FactorsYoung AdultCardiovascular malformationCongenital anomalies public health

Identifiers

PMID40790621
PMCPMC12341259

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Registered trials

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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.