DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20212757

Clinical profile and outcome of children with congenital heart diseases admitted with acute events in a paediatric tertiary care unit in North Karnataka

Ramaning Loni, Pruthvi Ranganath, Manisha Juvekar, Nitin Tikare, L. H. Bidari, M. M. Karva

Abstract


Background: Congenital heart diseases are the predominant causes of paediatric morbidity and mortality. This study was done to know the clinical profile, various acute presentations, and risk factors for repeated hospitalizations and their outcome in children with congenital heart diseases.

Methods: This prospective observational study of children in the age group of 0 hour-12 years, who were previously diagnosed and or newly diagnosed with congenital heart diseases.

Results: A total of 102 children were present during the study period. The most common age group for congenital heart disease was infancy with 46.1% (47 cases) of children. Acyanotic heart diseases were observed in 73.5% (75 cases) of the total, followed by cyanotic CHD with 14.7% (15 cases), complex CHD with 9.8% (10 cases), and the least, valvular diseases with 2% (2 cases). The most usual presenting symptoms in children with CHDs were breathlessness with 66.7% (67 cases), followed by fever with 54.9% (56 cases) and cough with 48% (49 cases. In this study, 23.5% (24 cases) of the children were completely immunized. The protein-energy malnutrition was present in 51% of cases (52 cases). The 16.7% of them (17 cases) have got the motor developmental delay predominantly. The dysmorphic features were present in 19 cases (18.6%) of total cases. The chest X-ray findings were abnormal in 58.8% (60 cases). The most common risk factor(co-morbidity) in children with CHD was noticed to be anaemia in 43 cases (42.2%).

Conclusions: The infancy and early childhood are the most common age group for the presentation of CHDs. Most of them had the associated risk factors (co-morbid) like nutritional anaemia, pneumonia, and failure to thrive.


Keywords


Congenital heart disease, Children, Profile

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References


Mitchell SC, Korones SB, Berendes HW. Congenital heart disease in 56,109 births. Incidence and natural history. Circulation. 1971;43(3):323-32.

Bassili A, Mokhtar SA, Dabous NI, Zaher SR, Mokhtar MM, Zaki A. Congenital heart disease among school children in Alexandria, Egypt: an overview on prevalence and relative frequencies. J Trop Pediatr. 2000;46(6):357-62.

Kapoor R, Gupta S. Prevalence of congenital heart disease, Kanpur, India. Indian Pediatr. 2008;45(4):309-11.

Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. 2002;39(12):1890-900.

Khalil A, Aggarwal R, Thirupuram S, Arora R. Incidence of congenital heart disease among hospital live births in India. Indian Pediatr. 1994;31(5):519-27.

Linde VD, Konings EE, Slager MA, Witeseburg M, Helbing WA, Takenberg JJ, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol. 2011;58(21):2241-7.

Yun SL, Baek JS, Kwon BS, Kim GB, Bae EJ, Noh CI, et al. Pediatric emergency room presentation of congenital heart disease. Korean Circ J. 2010;40(1):36-41.

Shah GS, Singh MK, Pandey TR, Kalakheti BK, Bhandari GP. Incidence of congenital heart disease in tertiary care hospital. Kathmandu Univ Med J. 2008;6(1):33-6.

Arodiwe I, Chinawa J, Ujunwa F, Adiele D, Ukoha M, Obidike E. Nutritional status of congenital heart disease (CHD) patients: Burden and determinant of malnutrition at university of Nigeria teaching hospital Ituku - Ozalla, Enugu. Pak J Med Sci. 2015;31(5):1140-5.

Rukeya B, Nisu S. Profile of Congenital Heart Disease in Children: A Hospital-Based Study. Int J Contemp Res Rev. 2017;8(7).

Harshnagi SV, Itagi LN, Patil V, Vijayanath V. Clinical profile of congenital heart diseases I in infants in a tertiary care hospital. JPSI. 2013;1(2):15-8.

Lata K, Mishra D, Mehta V, Juneja M. Neurodevelopmental Status of Children Aged 6-30 Months With Congenital Heart Disease. Indian Pediatr. 2015;52(11):957-60.

Mukherjee S, Sharma M, Devgan A, Jatana SK. Iron deficiency anemia in children with cyanotic congenital heart disease and effect on cyanotic spells. Med J Armed Forces India. 2018;74(3):235-40.

Namuyonga J, Lubega S, Aliku T, Omagino J, Sable C, Lwabi P. Pattern of congenital heart disease among children presenting to the Uganda Heart Institute, Mulago Hospital: a 7-year review. Afr Health Sci. 2020;20(2):745-52.