Clinical, echocardiographic, and therapeutic aspects of congenital heart diseases of children at Douala General Hospital: A cross-sectional study in sub-Saharan Africa
| Autor: | Henry Namme Luma, Marie Solange Doualla, Diomède Noukeu, Danielle Christiane Kedy Koum, Henry Ngote, Mélanie Yemdji, Samuel Kingue, Yves Monkam, Ba Hamadou, Esther Barla, Sidiki Mouliom, Anastase Dzudie, Félicité Kamdem, Christophe Akazong |
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| Rok vydání: | 2017 |
| Předmět: |
Heart Defects
Congenital Male Pediatrics medicine.medical_specialty Sub saharan Adolescent Cross-sectional study Hospitals General 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Cameroon General hospital Cardiac Surgical Procedures Child Tetralogy of Fallot business.industry Medical record Infant Newborn Disease Management Infant General Medicine Surgical correction medicine.disease Survival Rate Stenosis Cross-Sectional Studies Socioeconomic Factors Echocardiography Child Preschool Pediatrics Perinatology and Child Health Heart murmur Surgery Female medicine.symptom Morbidity Cardiology and Cardiovascular Medicine business Follow-Up Studies Forecasting |
| Zdroj: | Congenital heart disease. 13(1) |
| ISSN: | 1747-0803 |
| Popis: | Introduction Cardiovascular diseases in pediatric pathologies have emerged in the recent years in sub-Saharan Africa (SSA), with congenital heart diseases (CHDs) being the most frequent. Unfortunately, their diagnosis is usually delayed, thereby increasing childhood morbidity and mortality. Objectives Describe the clinical, echocardiographic, and therapeutic aspects of CHDs of children at Douala General Hospital. Methods We carried out a cross-sectional descriptive study over a 10-year period, from January 2006 to December 2015. Files and reports of cardiac ultrasounds of patients aged ≤ 15 years were reviewed. Results We reviewed the medical records of 1616 children, of which 370 (22.9%) had CHD. The age range was 1 day to 15 years, with a mean of 26 months. Heart murmur was the most frequent clinical sign, seen in 72.3% of the cases. CHD with left-to-right shunt was seen in 61.8%, with ventricular septal defect being the most common (29.8% of all cases). The second most common CHDs were those due to obstruction (20.4%), mainly pulmonary stenosis (19.6% of all cases). Cyanogenic CHDs accounted for 17.8% of cases, dominated by tetralogy of Fallot (7.4% of all cases). Indications for surgical treatment was found in 171 (46.2%) patients, but due to financial constraints, only 48 (28.1%) patients were operated. Among those who underwent surgery, 66.7% were operated abroad, and Humanitarian organizations financed the surgical management of 58.3% of those operated. Conclusions CHDs are seen in one out of five children seen in the pediatric cardiology unit of our Hospital for suspected heart disease. Most cases are diagnosed late in life as toddlers. The rate of surgical correction remains low due to financial constraints, with most cases operated abroad with the assistance of Humanitarian organizations. |
| Databáze: | OpenAIRE |
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