Improvement on Diagnosis of Fetal Congenital Heart Disease Based on Multi-center Collaboration in China

Study Overview
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Brief Summary
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The objective of this study is to improve the diagnosis level of fetal congenital heart disease by the multi-center collaboration in China.

Detailed Description
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Our center has constructed multi-center collaborative network in 2013, so far which contains more than 170 maternal and child health care hospitals throughout the whole of China. This is a multi-center-based study to improve the integral diagnostic level of fetal congenital heart diseases by fetal echocardiography. Sixty pregnant cases (18-45 years) whose fetuses with heart abnormalities will be recruited in a successive manner from every center every year. Cases are gravidas with fetal congenital heart disease diagnosed by echocardiography in 16th-24th of gestational weeks. Every center will upload the echocardiography materials and the diagnostic reports so that another two experienced echocardiography physicians confirm the diagnosis based on these materials in a double-blinded method. In addition, the golden standard of congenital heart disease depends on the autopsy, heart and vascular casting after abortion and operation after birth. The investigators will provide the report about the rate of missed diagnosis and misdiagnosis and the periodical training on fetal echocardiography for every center every half an year. Only gravidas who are willing to have complete pregnancy checks and finally delivery or abortion in the hospital are interviewed are eligible for the study. Study participants will be asked for their informed consent.

Official Title
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Improvement on Diagnosis of Fetal Congenital Heart Disease Based on Multi-center Collaboration in China

Conditions
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Congenital Heart Disease, Echocardiography, Diagnosis

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1.Gravida with singleton pregnancy with congenital heart disease taking fetal echocardiography in 16th-24nd of gestational weeks. 2.Complete pregnancy check in Beijing Anzhen Hospital and the hospitals contained in our multi-center network collaboration, and finally delivery or abortion in these hospitals. 3.Willing to cooperate with our study. Exclusion Criteria: 1. Pregnant women with serious pregnancy complications and suffering from mental illness. 2.Pregnant women not willing to cooperate

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the rate of missed diagnosis and misdiagnosis | We will report the primary outcome every year, and compare the change trend of diagnostic level of fetal congenital heart disease | From Jan 2018 to Dec 2020 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The prognosis of different type of fetal congenital heart disease with 1 year after birth | We will get the abortion rate of different types of fetal congenital heart disease and operation rate within 1 year after birth. | From Jan 2018 to Dec 2021 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Congenital Heart Disease, Echocardiography, Diagnosis