Polish National Registry for Fetal Cardiac Malformations (www.orpkp.pl) and negative verifications during the 10 years
Languages of publication
Polish National Registry for Fetal Cardiac Malformations ( initiated in 2004) was opened for primary practicioners as well as for the referral centers performing or basic fetal heart evaluation or targeted fetal echocardiography. None of the physicians until current era had regular education of fetal cardiology . It was necessary to create an audit - veryfication system, which was provided as a checking each record by the 3 most experienced fetal cardiologists in Poland, using randomised computer system. The aim of this analysis was a retrospective evaluation of „Negatively Verified” Material and methods: The total number of fetuses in Registry during 2004 and 2013 was 5682 and there were 170 negative verified cases. Every „negative case” was analyzed and qualified to one of five categories: An error in classification of the severity of CHD ; computer mistakes , reported other prenatal problems but not CHD, different interpretation of the images (freezed frames or cine loops) and bad order of the labels of cardiac anomalies. Results: The percentage of negative verifications was similar every year and total number of negative verification was 2,9% . The main reason for negative was first of all unproper fetal heart classification in 71 cases (42%). In majority the differences in interpretations were minor: but there were 5 huge differences between primary and secondary interpretation. Conclusions: 1) Fetal heart cardiology requires prenatal heart classification instead of pediatric classification 2) Computer mistakes (missing fields, missing diagnoses, lack of freezed frames or cine-loops) shoud be picked up by the system during up-loading of the cases 3) The different interpretation of the images could be used for teaching purpose of fetal cardiology .
1 - 12 - 2015
16 - 11 - 2015
25 - 11 - 2015
5 - 3 - 2016
- 1. Respondek-Liberska M,. Szymkiewicz-Dangel J, Tobota Z, Słodki M.: Purpose and preliminary conclusions from The National Registry of Fetal Cardiac Pathology in Poland (www.orpkp.pl) Polski Przegląd Kardiologiczny 2008, 10, 19-23
- 2. Slodki M, Szymkiewicz-Dangel J, Tobota Z, Seligman NS, Weiner S, Respondek-Liberska M.: The Polish National Registry for Fetal Cardiac Pathology: organization, diagnoses, management, educational aspects and telemedicine endeavors. Prenatal Diagnosis 2012 ;32:456-60[WoS]
- 3. Słodki M, Dangel J and Respondek-Liberska M.:The National Registry of Fetal Cardiac Pathology in Poland (www.orpkp.pl) is the core of a novel national system to assess the competence of ultrasonographers in fetal echocardiography. Ultrasound Obstet Gynecol 2011; 37 : 739 - 742[WoS]
- 4. Respondek-Liberska M, Dangel J, Włoch A.: Certificate of competence in screening of fetal heart. Fetal Echocardiography And Cardiology Section of Polish Ultrasound Society & Polish Gynecological Society. Ultrasonografia 2006, 25, 83-86
- 5. Respondek-Liberska M, Dangel J, Włoch A. Certificate of competence in echocardiography of fetal heart. Fetal Echocardiography And Cardiology Section of Polish Ultrasound Society. Ultrasonografia 2006, 25, 87-90
- 6. Slodki M and Respondek-Liberska M.: Proposal of screening fetal heart examination form granted by Polish Ministry of Health Program Kardio-Prenatal 2008; Ginekol Pol. 2009, 80, 466-470
- 7. Wood D, Respondek-Liberska M, Puerto B, Weiner S; Perinatal echocardiography: protocols for evaluating the fetal and neonatal heart. World Association of Perinatal Medicine Ultrasonography Working Group. J Perinat Med. 2009;37:5-11
- 8. Respondek-Liberska M and Janiak K.: Fetal echocardiography protocol for reference centers. Polski Przegląd Kardiologiczny 2010;12(3):212-218
- 9. Kordjalik P, Radzymińska-Chruściel B, Słodki M, Włoch A, Szymkiewicz- Dangel J, Respondek-Liberska M, Tobota Z. The Polish National Registry for Fetal Cardiac Pathology (www.orpkp.pl) - selected data analysis for 2013 and 2014 and comparison with data from 2004 to 2012. Prenat Cardio 2015, 1, 6-12
- 10. Kordjalik Paulina, Maria Respondek-Liberska. HLHS on the basis of a Nationwide Registry of Fetal Cardiac Pathology www.orpkp.pl. Prenat Cardio. 2013;3:18-21.
- 11. Słodki M, Respondek-Liberska M. Comment on „Outcomes of critical congenital heart disease requiring emergent neonatal cardiac intervention”: a new classification of congenital heart disease. Prenat Diagn. 2015;35:620-1
- 12. Papp Z, Süveges D, Szabó G, Kámán A, Papp C, Tóth-Pál E, Takács L. [A computerized follow up system of obstetric and genetic care]. Orv Hetil. 1990;131:803-6.
- 13. Calzolari E1, Barisic I, Loane M, Morris J, Wellesley D, Dolk H, Addor MC, Arriola L, Bianchi F, Neville AJ, Budd JL, Klungsoyr K, Khoshnood B, McDonnell B, Nelen V, Queisser-Luft A, Rankin J, Rissmann A, Rounding C, Tucker D, Verellen-Dumoulin C, de Walle H, Garne E. Epidemiology of multiple congenital anomalies in Europe: a EUROCAT population-based registry study. Birth Defects Res A Clin Mol Teratol. 2014;100:270-6[WoS]
- 14. Salemi JL, Tanner JP, Bailey M, Mbah AK, Salihu HM. Creation and evaluation of a multi-layered maternal and child health database for comparative effectiveness research. J Registry Manag. 2013;40:14-28
- 15. Messiaen C1, Le Mignot L, Rath A, Richard JB, Dufour E, Ben Said M, Jais JP, Verloes A, Le Merrer M, Bodemer C, Baujat G, Gerard-Blanluet M, Bourdon-Lanoy E, Salomon R, Ayme S, Landais P. CEMARA: a Web dynamic application within a N-tier architecture for rare diseases. Stud Health Technol Inform. 2008;136:51-6.
- 16. Chaviano AH, Maizels M, Yerkes EB, Cheng EY, Hagerty J, Meyer T, Kaplan WE. Incidence based fetal urological counseling using the virtual pediatric urology registry: importance of insignificant fetal pyelectasis (sonographically evident renal pelvis). J Urol. 2007;178:1781-5[WoS]
- 17. Jahn A, Berle P. [Quality of prenatal data in the Hessian Perinatal Registry. A comparison with data from maternal health record and results of a pregnancy survey]. Geburtshilfe Frauenheilkd. 1996;56:132-8
- 18. Donofrio MT, Moon-Grady AJ, Hornberger LK, Copel JA, Sklansky MS, Abuhamad A, Cuneo BF, Huhta JC, Jonas RA, Krishnan A, Lacey S, Lee W, Michelfelder EC Sr, Rempel GR, Silverman NH, Spray TL, Strasburger JF, Tworetzky W, Rychik J; American Heart Association Adults With Congenital Heart Disease Joint Committee of the Council on Cardiovascular Disease in the Young and Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and Council on Cardiovascular and Stroke Nursing. Diagnosis and treatment of fetal cardiac disease: a scientific statement from the American Heart Association. Circulation. 2014;129:2183-242
- 19. Pruetz JD, Carroll C, Trento LU, Chang RK, Detterich J, Miller DA, Sklansky M Outcomes of critical congenital heart disease requiring emergent neonatal cardiac intervention. Prenat Diagn. 2014;34:1127-32
- 20. Yeo L, Romero R. Fetal Intelligent Navigation Echocardiography (FINE): a novel method for rapid, simple, and automatic examination of the fetal heart. Ultrasound Obstet Gynecol. 2013;42:268-84[WoS]
Publication order reference