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Predictors of Abnormal Transfontanelle Ultrasound Findings in Neonates with Congenital Heart Disease Cover

Predictors of Abnormal Transfontanelle Ultrasound Findings in Neonates with Congenital Heart Disease

Open Access
|Jun 2026

Figures & Tables

CHD types

CHD typen (%)
Left-to-right shunt lesions25 (18.12)
Right-to-left shunt lesions41 (30.43%)
Obstructive CHD32 (23.19%)
Complex CHD40 (28.99%)

Univariate and multivariable logistic regression analyses for abnormal TFUS

PredictorUnivariate logistic regression analysisMultivariate logistic regression analysis
OR (95% CI) p value OR (95% CI) p value
Positive genetic testing4.2 (1.8–9.8)0.0013.9 (1.5–10.2)0.005
Mechanical ventilation dependence3.1 (1.4–6.9)0.0052.7 (1.1–6.5)0.028
Bethesda high risk2.5 (1.2–5.3)0.0152.2 (1.0–4.8)0.045
Number of associated clinical symptoms1.4 (1.1–1.8)0.008
Prostaglandin administration2.8 (1.1–7.2)0.031

Baseline characteristics of patients

VariableValue
Demographic characteristics
Sex
 Male, n (%)70 (50.7%)
 Female, n (%)68 (49.3%)
Environment
 Urban, n (%)43 (31.16%)
 Rural, n (%)95 (68.84%)
Postnatal characteristics
 Gestational age, weeks (mean ± s.d.)36.93 ± 2.59
 Prematurity, n (%)49 (35.51%)
 Birth weight, g (mean ± s.d.)2,692.55 ± 865.11
 Birth length, cm (mean ± s.d.)47.7 ± 4.31
Positive genetic testing, n (%)37 (26.82%)
 Genetic syndrome, n (%)29 (21.01%)
Clinical symptoms
 Cardiac murmur, n (%)134 (97.10%)
 Tachycardia, n (%)88 (63.77%)
 Hypoxia, n (%)87 (63.04%)
 Tachypnea, n (%)81 (58.70%)
 Cyanosis, n (%)60 (43.48%)
 Chest wall retraction, n (%)66 (47.83%)
 Arrhythmia, n (%)6 (4.35%)
Mechanical ventilation dependence, n (%)53 (38.41%)
Prostaglandin administration, n (%)64 (46.38%)

Transfontanellar ultrasound abnormalities

Abnormalityn (%)
Ventricular dilation11 (26.19%)
Intraventricular hemorrhage7 (16.67%)
Choroid plexus cysts7 (16.67%)
Subependymal hemorrhage5 (11.90%)
Corpus callosum agenesis (partial/complete)6 (14.29%)
Cerebral edema6 (14.29%)
Hydrocephalus1 (2.38%)
Cerebral aneurysm1 (2.38%)
Mega cisterna magna1 (2.38%)
DOI: https://doi.org/10.2478/jce-2026-0006 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X
Language: English
Page range: 79 - 84
Submitted on: Jan 26, 2026
Accepted on: Mar 2, 2026
Published on: Jun 24, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Liviu Moraru, Petra-Caroline Mayaya, Elena Hanganu, Raluca Moraru, Anca Bivoleanu, Simona Irina Damian, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.