Modified Ross score and echocardiographic score in children with heart failure: a subgroup analysis.
| Autor: | Setiyawan, I. Made Karma, Yantie, Ni Putu Veny Kartika, Arimbawa, Anak Agung Ngurah Ketut Putra Widnyana I. Gusti Lanang Sidiartha I. Putu Gede Karyana I. Made |
|---|---|
| Předmět: |
HEART failure treatment
CROSS-sectional method STATISTICAL correlation DISEASE duration ACADEMIC medical centers DATA analysis HEART failure TREATMENT duration SEVERITY of illness index DESCRIPTIVE statistics CARDIOVASCULAR system physiology RESEARCH STATISTICS DATA analysis software ECHOCARDIOGRAPHY CHILDREN |
| Zdroj: | Paediatrica Indonesiana; May2024, Vol. 64 Issue 3, p202-208, 7p |
| Abstrakt: | Background Over the past two decades, heart failure in children has increased in terms of symptom recognition and prevalence. The initial clinical manifestations of heart failure in children are non-specific. Therefore, diagnosis requires the support of echocardiography. The severity of heart failure symptom in children can be classified through a simple scoring system such as Ross score. The cardiac remodeling status, duration of heart disease and treatment may have clinical and anatomical effects on the disease. Objective To analyze correlation between modified Ross score and echocardiographic score by subgroup analysis consisting of cardiac remodeling status, duration of heart disease and treatment. Methods This cross-sectional study included children aged 1 month to 18-years-old with heart failure who sought treatment at Prof.Dr. I.G.N.G Ngoerah Hospital, Denpasar from June 2019 to February 2020. Cardiac remodeling was defined as >20% increase in left ventricle internal end diastolic dimension (LVIDd) compared to normal values, based on body surface area. Spearman's correlation test was used for statistical analysis. Results A total of 30 subjects were analyzed in this study. The median modified Ross score and echocardiography score were 3 (range 2-11) points and 4 (range 2-6) points, respectively. The median durations of heart disease and preventive heart failure treatment were 2 years (range 7 days-15 years) and 1 year (range 7 days-15 years), respectively. The mean LVIDd was 4.3 (SD 1.4) cm. Twenty-one out of 30 subjects experienced a ≥ 20% increase of LVIDd from baseline. The modified Ross score and echocardiographic score had no significant correlation (r=0.18; P=0.33). However, the modified Ross score had significant correlations with duration of heart disease (r=-0.632; P<0.001) as well as duration of treatment (r=-0.584; P=0.001). In addition, no correlation was found between echocardiographic score with heart disease and treatment duration (P>0.05). Echocardiography score and remodeling process was significantly correlated (r=0.64; P<0.001). Conclusion There is no correlation between modified Ross score and echocardiographic score. Duration of heart disease and treatment are significantly negatively correlated with modified Ross scores. The remodeling process is positively correlated with echocardiographic score. Further research on acute heart failure and validated echocardiographic scores are needed. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
| Externí odkaz: |
|