Incidence and types of congenital heart disease at a referral hospital in Jordan: retrospective study from a tertiary center.
| Autor: | Hasan AA; Division of Neonatology, Department of Pediatrics, Maternity and Children's Hospital at Al Bashir Hospital, Amman, Jordan., Abu Lehyah NAA; Division of Neonatology, Department of Pediatrics, Maternity and Children's Hospital at Al Bashir Hospital, Amman, Jordan., Al Tarawneh MK; Department of General Pediatrics, Maternity and Children's Hospital at Al Bashir Hospital, Amman, Jordan., Abbad MY; Department of General Pediatrics, Maternity and Children's Hospital at Al Bashir Hospital, Amman, Jordan., Fraijat AG; Division of Pediatric Critical Care Medicine, Department of Pediatrics, Maternity and Children's Hospital at Al Bashir Hospital, Amman, Jordan., Al-Jammal RA; Division of Neonatology, Department of Pediatrics, Maternity and Children's Hospital at Al Bashir Hospital, Amman, Jordan., Moamar DM; Department of Obstetrics and Gynaecology, Maternity and Children's Hospital at Al Bashir Hospital, Amman, Jordan., Shersheer QA; Department of General Pediatrics, Maternity and Children's Hospital at Al Bashir Hospital, Amman, Jordan., Guthrie SO; Division of Neonatology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, United States., Starnes JR; Division of Pediatric Cardiology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, United States. |
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| Jazyk: | angličtina |
| Zdroj: | Frontiers in pediatrics [Front Pediatr] 2023 Sep 15; Vol. 11, pp. 1261130. Date of Electronic Publication: 2023 Sep 15 (Print Publication: 2023). |
| DOI: | 10.3389/fped.2023.1261130 |
| Abstrakt: | Background: Congenital heart disease (CHD) is the most common birth defect and accounts for significant global morbidity and mortality. Relatively little is known about the epidemiology of CHD in Jordan or the manner in which CHD is identified. Methods: A retrospective medical record review was conducted for all neonates who had an abnormal echocardiogram performed at a tertiary referral hospital. All included neonates had echocardiography performed by the same pediatric cardiologist at the discretion of the treatment team. Descriptive statistics were used to describe CHD incidence, types of CHD identified, and mechanism of identification. Results: The incidence of congenital heart disease was 17.8 per 1,000 live births. This rose to 24.6 per 1,000 if patent ductus arteriosus in preterm infants was included. The most common identified abnormalities were PDA, atrial septal defects, persistent pulmonary hypertension, septal hypertrophy, and ventricular septal defects. Most children were evaluated either for a murmur heard on exam or as a part of screening due to other comorbidities or risk factors. Less than 1% of children had a prenatal diagnosis. There was a higher rate of persistent pulmonary hypertension during the COVID-19 pandemic than before ( p < 0.001). Conclusions: There is a high incidence of CHD in Jordan. Increased prenatal and perinatal screening for CHD may allow for earlier detection. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2023 Hasan, Abu Lehyah, Al Tarawneh, Abbad, Fraijat, Al-Jammal, Moamar, Shersheer, Guthrie and Starnes.) |
| Databáze: | MEDLINE |
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