Cardiac surgery in low-income settings: 10 years of experience from two countries
| Autor: | Mariana Mirabel, Lucile Offredo, Benjamin Zuschmidt, Daniel Sidi, Phang Sok, S. Chauvaud, Matthias Lachaud, Cécile Lachaud, Alain Deloche, Xavier Jouven, Beatriz Ferreira, Eloi Marijon |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Low income medicine.medical_specialty Pediatrics Adolescent Heart Diseases Heart disease 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Interquartile range Humans Medicine In patient Hospital Mortality 030212 general & internal medicine Cardiac Surgical Procedures Child Developing Countries Poverty Survival rate Mozambique business.industry General Medicine medicine.disease Cardiac surgery Survival Rate Socioeconomic Factors Postoperative mortality Child Preschool Female Cambodia Cardiology and Cardiovascular Medicine business Forecasting Cohort study |
| Zdroj: | Archives of Cardiovascular Diseases. 110:82-90 |
| ISSN: | 1875-2136 |
| DOI: | 10.1016/j.acvd.2016.05.006 |
| Popis: | Background Access to cardiac surgery is limited in low-income settings, and data on patient outcomes are scarce. Aims To assess characteristics, surgical procedures and outcomes in patients undergoing open-heart surgery in low-income settings. Methods This was a cohort study (2001–2011) in two low-income countries, Cambodia and Mozambique, where cardiac surgery had been promoted by visiting non-governmental organizations. Results In Cambodia and Mozambique, respectively, 1332 and 767 consecutive patients were included; 547 (41.16%) and 385 (50.20%) were men; median age at first surgery was 11 years (interquartile range [IQR] 4–14) and 11 years (IQR 3–18); rheumatic heart disease affected 490 (36.79%) and 268 (34.94%) patients; congenital heart disease (CHD) affected 834 (62.61%) and 390 (50.85%) patients, with increasingly more CHD patients over time (P |
| Databáze: | OpenAIRE |
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