[Short-term prognosis of heart diseases managed at the pediatric intensive care unit of the Brazzaville University Hospital].

Autor:	Ellenga Mbolla B; Service de cardiologie, CHU de Brazaville, BP 13400, Brazzaville, Congo., Oko A; Service de soins intensifs pédiatriques, département de médecine, CHU de Brazzaville, faculté des sciences de la santé, Brazzaville, Congo., Okoko AR; Service de pédiatrie grands enfants, département de médecine, Brazzaville, Congo., Moyen E; Service de soins intensifs pédiatriques, département de médecine, CHU de Brazzaville, faculté des sciences de la santé, Brazzaville, Congo., Ekouya Bowassa G; Service de néonatologie, CHU de Brazzaville, Congo., Gombet TR; Départment de médecine, faculté des sciences de la santé, Université Marie, Brazzaville, Congo., Mabiala Babela JR; Départment de médecine, faculté des sciences de la santé, Université Marie, Brazzaville, Congo., Moyen GM; Service de soins intensifs pédiatriques, département de médecine, CHU de Brazzaville, faculté des sciences de la santé, Brazzaville, Congo, Départment de médecine, faculté des sciences de la santé, Université Marie, Brazzaville, Congo., Kimbally Kaky SG; Service de cardiologie, CHU de Brazaville, BP 13400, Brazzaville, Congo.
Jazyk:	francouzština
Zdroj:	Medecine et sante tropicales [Med Sante Trop] 2014 Apr-Jun; Vol. 24 (2), pp. 204-7.
DOI:	10.1684/mst.2014.0330
Abstrakt:	Objective: To determine the main heart diseases of children admitted to our pediatric intensive care unit. Patients and Methods: This cross-sectional study was conducted in 2011 (January to December) in the pediatric intensive care of the Brazzaville University Hospital. Results: The study included 42 children, 27 of them girls (64.3%). Their mean age was 2.6 ± 3.4 years, and the mean age of their mothers 26.6 ± 5.1 years. The reasons for admission were dyspnea (n = 34, 81%), fever (n = 21, 50%), edema syndrome (n = 8, 19%), squatting (n = 5, 12%), impaired consciousness (n = 4), seizures (n = 3, 7.1%), shock (n = 2, 4.8%), and malaise (n = 1, 2%). Associated signs included coughing (n = 30, 71.4%), impaired general condition (n = 14, 33.3%), cyanosis (n = 9, 21.4%), and chest deformity (n = 15, 35.7%). Heart failure was found in 28 cases (66.7%), as was congenital heart disease. The main heart diseases were ventricular septal defects (n = 13), cardiomyopathy (n = 9), and the tetralogy of Fallot (n = 6). The most common factors of decompensation were anemia (n = 12, 28.6%) and bronchopneumonia (n = 11, 26.2%). The immediate mortality rate was 23.8%. Conclusion: The heart diseases in children admitted in critical situations usually required surgical care, not available in our country. Rapid treatment is possible by strengthening South-South cooperation with neighboring countries where cardiac surgery is available.
Databáze:	MEDLINE
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