1. Ten-Year Survival of Children With Congenital Anomalies: A European Cohort Study.
- Author
-
Glinianaia, Svetlana V., Rankin, Judith, Pierini, Anna, Coi, Alessio, Santoro, Michele, Tan, Joachim, Reid, Abigail, Garne, Ester, Loane, Maria, Given, Joanne, Cavero-Carbonell, Clara, de Walle, Hermien E. K., Gatt, Miriam, Gissler, Mika, Heino, Anna, Khoshnood, Babak, Klungsøyr, Kari, Lelong, Nathalie, Neville, Amanda J., and Thayer, Daniel S.
- Subjects
- *
SURVIVAL , *CONFIDENCE intervals , *HUMAN abnormalities , *DESCRIPTIVE statistics , *KAPLAN-Meier estimator , *DATA analysis software , *LONGITUDINAL method , *CHILD mortality - Abstract
OBJECTIVES: To investigate the survival up to age 10 for children born alive with a major congenital anomaly (CA). METHODS: This population-based linked cohort study (EUROlinkCAT) linked data on live births from 2005 to 2014 from 13 European CA registries with mortality data. Pooled Kaplan-Meier survival estimates up to age 10 were calculated for these children (77 054 children with isolated structural anomalies and 4011 children with Down syndrome). RESULTS: The highest mortality of children with isolated structural CAs was within infancy, with survival of 97.3% (95% confidence interval [CI]: 96.6%-98.1%) and 96.9% (95% CI: 96.0%-97.7%) at age 1 and 10, respectively. The 10-year survival exceeded 90% for the majority of specific CAs (27 of 32), with considerable variations between CAs of different severity. Survival of children with a specific isolated anomaly was higher than in all children with the same anomaly when those with associated anomalies were included. For children with Down syndrome, the 10-year survival was significantly higher for those without associated cardiac or digestive system anomalies (97.6%; 95% CI: 96.5%-98.7%) compared with children with Down syndrome associated with a cardiac anomaly (92.3%; 95% CI: 89.4%-95.3%), digestive system anomaly (92.8%; 95% CI: 87.7%-98.2%), or both (88.6%; 95% CI: 83.2%-94.3%). CONCLUSIONS: Ten-year survival of children born with congenital anomalies in Western Europe from 2005 to 2014 was relatively high. Reliable information on long-term survival of children born with specific CAs is of major importance for parents of these children and for the health care professionals involved in their care. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF