Evidence map›Paper›PMID 35450908›Full record

ArticleBMJ open2022

Prescription of cardiovascular medication in children with congenital heart defects across six European Regions from 2000 to 2014: data from the EUROlinkCAT population-based cohort study.

Mads Damkjaer, Stine Kjaer Urhoj, Joachim Tan, Gillian Briggs, Maria Loane, Joanne Emma Given, Laia Barrachina-Bonet, Clara Cavero-Carbonell, Alessio Coi, Amanda J Neville and 8 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. 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
1.1field-weighted citation impact, top 24% of its field
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, 8 citations in OpenAlex.

  1. Article
  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

18 authors at 11 institutions in 10 countries.

Mads DamkjaerDepartment of Paediatrics, Sygehus Lillebalt Kolding Sygehus, Kolding, Denmark mads.damkjaer2@rsyd.dk.ORCID 0000-0001-7410-8573
Stine Kjaer UrhojDepartment of Paediatrics, Sygehus Lillebalt Kolding Sygehus, Kolding, Denmark.ORCID 0000-0002-2069-9723
Joachim TanPopulation Health Research Institute, St George's University of London, London, UK.
Gillian BriggsPopulation Health Research Institute, St George's University of London, London, UK.ORCID 0000-0001-7535-8398
Maria LoaneInstitute of Nursing and Health Research, University of Ulster, Coleraine, UK.
Joanne Emma GivenUlster University Faculty of Life and Health Sciences, Coleraine, UK.ORCID 0000-0003-4921-1944
Laia Barrachina-BonetRare Diseases Research Unit, Foundation for the Promotion of the Research in Healthcare and Biomedicine, Valencia, Spain.
Clara Cavero-CarbonellRare Diseases Research Unit, Foundation for the Promotion of the Research in Healthcare and Biomedicine, Valencia, Spain.ORCID 0000-0002-4858-6456
Alessio CoiUnit of Epidemiology of Rare Diseases and Congenital Anomalies, Institute of Clinical Physiology, National Research Council, Pisa, Italy.ORCID 0000-0002-9816-3144
Amanda J NevilleRegistro IMER, University of Ferrara, Ferrara, Emilia-Romagna, Italy.
Anna HeinoFinnish Institute for Health and Welfare, Helsinki, Finland.
Sonja Kiuru-KuhlefeltFinnish Institute for Health and Welfare, Helsinki, Finland.
Susan JordanFaculty of Medicine, Health & Life Sciences, Swansea University, Swansea, Wales.
Ieuan ScanlonFaculty of Medicine, Health & Life Sciences, Swansea University, Swansea, Wales.
Anna PieriniInstitute of Clinical Physiology National Research Council, Pisa, Italy.
Aurora PucciniDrug and Medical Device Area, Emilia Romagna Health Department, Emilia-Romagna Regional Healthcare Services, Bologna, Emilia-Romagna, Italy.
Ester GarneDepartment of Paediatrics, Sygehus Lillebalt Kolding Sygehus, Kolding, Denmark.ORCID 0000-0003-0430-2594
Joan K MorrisPopulation Health Research Institute, St George's University of London, London, UK.ORCID 0000-0002-7164-612X
St George's, University of London · GBFinnish Institute for Health and Welfare · FIFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ESIstituto di Fisiologia Clinica · ITSwansea University · GBUniversity of Ulster · GBKolding Hospital · DKRegional Health · USUniversity of Copenhagen · DKUniversity of Ferrara · ITUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAdvances in surgical management strategies have substantially reduced fatality from congenital heart defects (CHD). Decreased infant mortality might be expected, consequentially to result in greater morbidity in older children due to complications later in childhood and adolescence. This study aims to evaluate the use of cardiovascular medication (CVM) as an indicator of disease burden in children born with CHD in the first 10 years of life.

designPopulation-based cohort study.

settingSix population-based registries from the European Surveillance of Congenital Anomalies (EUROCAT) network participated. Data from live born children with major congenital anomalies (CA) born from 2000 to 2014 were linked to prescription databases. Four groups of children were analysed: CA, CHD, severe CHD (sCHD) and ventricular septal defect (VSD) without sCHD. Live born children without CA were included as reference group.

participantsWe obtained data on 61 038 children born with a CA, including 19 678 with CHD, 3392 with sCHD, 12 728 children with VSD without sCHD, and 1 725 496 reference children.

resultsChildren born with sCHD were the most likely to receive a CVM prescription (42.9%, 95% CI, 26.3 to 58.5) in the first year of life compared with 13.3% (6.7 to 22.0) of children with any CHD, 5.9% (3.7 to 8.7) of children with any CA and 0.1% (0.0 to 0.1) of reference children. Medication was less likely to be prescribed after the first year of life for sCHD; 18.8% (14.8 to 23.1) for children 1-4 years and 15.8% (12.0 to 20.1) 5-9 years. Children with sCHD were most likely to receive a diuretic (36.4%, 18.6 to 54.5), an antihypertensive (6.9%, 3.7 to 11.3) or a beta-blocker (5.5%, 2.9 to9.2).

conclusionAlmost half of all children with sCHD were prescribed CVM in their first year of life. For all four groups of children with anomalies, the proportion of children with a CVM prescription decreased with age.

Indexed as

Cardiovascular AgentsHeart Defects, CongenitalHeart Septal Defects, VentricularAdolescentChildCohort StudiesDrug PrescriptionsFemaleHumansInfantParturitionPregnancyRegistriesCardiovascular Agentscommunity child healthcongenital heart diseasepaediatric cardiologypaediatric surgery

Identifiers

PMID35450908
PMCPMC9024225
OpenAlexW4224252101

What Socratic holds

Textmetadata
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 Socratic graph.