{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T09:44:52Z","timestamp":1784022292797,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"14","license":[{"start":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T00:00:00Z","timestamp":1617148800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth Defects Research"],"published-print":{"date-parts":[[2021,8,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The prevalence, morbidity, and mortality associated with Ebstein anomaly (EA) remains poorly characterized in neonates. EA is a rare form of congenital heart disease (CHD) with significant heterogeneity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the recent, 2000\u20132018, prevalence, mortality, outcomes, and healthcare utilization of infants admitted at \u226428\u2009days of life with EA in comparison to other critical congenital heart defects (CCHD) in the United States using a national data set.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The National Inpatient Sample (NIS) from the Healthcare Cost and Utilization Project (HCUP) was queried for infants admitted for any reason at \u226428\u2009days of life with a diagnosis of EA between 2000 and 2018 using ICD\u20109 and 10 codes in the United States. Patient characteristics, morbidity, mortality, and healthcare utilization were evaluated for EA and compared with other CCHD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 2000 to 2018 a total of 68,312,952 neonatal admissions were identified, of them 4,398 neonates with isolated EA were identified, representing 7 per 100,000 neonatal admissions and 2.2% of CCHD admissions (4,398\/197,881). The number of new EA cases ranged from 138 to 375 per year. In\u2010hospital mortality was 12.3% and surgical repair occurred in 4.2% for infants with EA. There were 470 deaths without surgical repair which is 86.6% of the mortality. Arrhythmias were diagnosed in 10.6% and ECMO was used for 2.6% of neonates with EA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>EA is a rare form of CHD. The prevalence has remained stable over the 19\u2009years whereas other congenital heart defects have had an increase. The mortality in neonates with EA was significantly higher than in pooled CCHD; the burden of mortality occurred in the neonates without surgical intervention.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bdr2.1895","type":"journal-article","created":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T11:18:47Z","timestamp":1617189527000},"page":"1037-1043","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Neonatal Ebstein anomaly national outcomes from 2000 to 2018 using the National Inpatient Sample"],"prefix":"10.1002","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9825-0822","authenticated-orcid":false,"given":"Allison M.","family":"Peluso","sequence":"first","affiliation":[{"name":"Department of Neonatology Cleveland Clinic Children's  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan F.","family":"Othman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Michigan State University\/Sparrow Health System  Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Zahka","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Cleveland Clinic Children's  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio L.","family":"Perez","sequence":"additional","affiliation":[{"name":"Kaufman Center for Heart Failure Treatment and Recovery Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Sammour","sequence":"additional","affiliation":[{"name":"Department of Neonatology Cleveland Clinic Children's  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hany","family":"Aly","sequence":"additional","affiliation":[{"name":"Department of Neonatology Cleveland Clinic Children's  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,31]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Agency for Heathcare Research and Quality. 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