Late mortality after cardiac interventions over 10-year period in two Cameroonian government-owned hospitals.

Autor:	Ngatchou W; Faculty of Medicine and Pharmaceutical Sciences of Douala, Douala, Cameroon., Kamdem F; Faculty of Medicine and Pharmaceutical Sciences of Douala, Douala, Cameroon.; Internal Medicine Department, Douala General Hospital, Douala, Cameroon., Lemogoum D; Faculty of Medicine and Pharmaceutical Sciences of Douala, Douala, Cameroon., Ewane DF; Faculty of Medicine and Pharmaceutical Sciences of Douala, Douala, Cameroon., Doualla MS; Faculty of Medicine and Pharmaceutical Sciences of Douala, Douala, Cameroon.; Internal Medicine Department, Douala General Hospital, Douala, Cameroon., Jansens JL; Department of Cardiac Surgery, Erasme Hospital of Brussels, ULB, Belgium., Sango J; Faculty of Medicine and Pharmaceutical Sciences of Douala, Douala, Cameroon., Origer P; Department of Anesthesiology, St Pierre Hospital of Brussels, ULB, Belgium., Hacquebard JJ; Department of Anesthesiology, St Pierre Hospital of Brussels, ULB, Belgium., Berre J; Department of Cardiac Surgery, Erasme Hospital of Brussels, ULB, Belgium., de Cannière D; Department of Surgery, St Pierre Hospital of Brussels, ULB, Belgium., Alima MB; Department of Surgery, St Pierre Hospital of Brussels, ULB, Belgium., Dzudie A; Internal Medicine Department, Douala General Hospital, Douala, Cameroon., Ngote H; Internal Medicine Department, Douala General Hospital, Douala, Cameroon., Mouliom S; Internal Medicine Department, Douala General Hospital, Douala, Cameroon., Hentchoua R; Anesthesiology and Intensive Care Units, Douala General Hospital, Douala, Cameroon., Kana A; Anesthesiology and Intensive Care Units, Douala General Hospital, Douala, Cameroon., Coulibaly A; Anesthesiology and Intensive Care Units, Douala General Hospital, Douala, Cameroon., Jingi AM; Faculty of Medicine and Biomedical Sciences of Yaoundé, Yaoundé, Cameroon., Mfeukeu-Kuaté L; Faculty of Medicine and Biomedical Sciences of Yaoundé, Yaoundé, Cameroon., Priso EB; Faculty of Medicine and Biomedical Sciences of Yaoundé, Yaoundé, Cameroon., Luma H; Faculty of Medicine and Biomedical Sciences of Yaoundé, Yaoundé, Cameroon., Ménanga AP; Department of Cardiology, Yaoundé General Hospital, Yaoundé, Cameroon., Kingue S; Department of Cardiology, Yaoundé General Hospital, Yaoundé, Cameroon.
Jazyk:	angličtina
Zdroj:	Cardiovascular diagnosis and therapy [Cardiovasc Diagn Ther] 2019 Feb; Vol. 9 (1), pp. 43-49.
DOI:	10.21037/cdt.2018.11.10
Abstrakt:	Background: Cardiac surgery is a growing activity in Sub-Saharan Africa, however, data related to long-term mortality are scarce. We aimed to analyze outcome data of cardiac interventions in two hospitals in Cameroon over 10 years' period. Methods: we conducted a retrospective analytical and descriptive study at the Douala General Hospital and Yaoundé General Hospital. All patients operated between January 2007 and December 2017, or their families were contacted by phone between January and April 2018 for a free of charges medical examination. Results: Of a total of 98 patients operated during the study period, 8 (8.2%) were lost to follow-up. Finally, 90 patients [49 (54.4%) women and 41 (45.6%)] men were included. The mean age was 49±22 years (range, 13-89 years). The surgical indications were valvular heart diseases in 37 (41.1%) cases, congenital heart diseases in 11 (12.2%) cases, chronic constrictive pericarditis in 4 (4.4%) cases, and intra cardiac tumor in 1 (1.1%) case. Valve replacement was the most common type of surgery carried out in 37 (41.1%) cases-mostly with mechanical prosthesis. Pacemaker-mostly dual-chambers were implanted in 36 (40.0%) patients. The median follow-up was 26 months. The overall late mortality was 5.7%, and the overall survival rates at 5 and 10 years were 95.5% and 94.4% respectively. The overall survival rates at 5 and 10 years for mechanical valve prosthesis were 93.3% and 90% respectively. The survival at 10 years was 100% for patients with bioprosthesis. The survival rates at 10 years were 94.1% and 100% respectively for dual and single chamber pacemaker. Conclusions: Long-term outcome of cardiac surgery in hospitals in Cameroon are acceptable with low mortality rate. However, outcome metrics beyond mortality should be implemented for a prospective data collection. Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu