Childhood Heart Disease in Côte d’Ivoire: Retrospective Multicentric Study about 228 Cases

Abstract

Introduction: In Côte d'Ivoire, the paediatrician has to face a diagnosis and management problem in front of pediatric heart disease, with consequent a high lethality. Objective: To describe the epidemiological, diagnostic, therapeutic and progressive aspects of childhood cardiopathy for the improvement of prognosis and professional practice. Materials and methods: This was a multicenter retrospective and descriptive study conducted from January 2011 to March 2016 in two main hospitals universities, one located in Abidjan and the other in Bouaké. It concerned children aged 0 to 15 admitted for cardiac disease diagnosed on clinical and/or echocardiographic arguments. The variables studied were the epidemiological, diagnostic, therapeutic and evolutionary aspects. Results: A total of 49.760 admissions including 228 infantile heart disease cases (congenital 113, acquired 51, indeterminate 64) are overall prevalence of 4.6‰. They involved 106 boys and 122 girls. In 74.6% of cases, the age was between 0 and 2 years. Respiratory distress 73.7% was the main reason for consultation. The main congenital heart diseases (CHD) are ventricular septal defect (VSD) (31%), atrial septal defect (ASD) (20.4%), atrioventricular canal (AVSD) (12.4%) and tetralogy of Fallot (TOF) (11.5%). As for acquired forms (AHD), rheumatic mitral insufficiency (41.2%) and tuberculous pericarditis (15.7%) were the two main causes. Treatment progress is marked by stabilization (71.1%) and death (14%). Death was significantly associated with low socioeconomic status (p = 0.01) and with complication (p < 0.001). Conclusion: Infantile heart diseases are relatively less frequent and How to cite this paper: Azagoh-Kouadio, R

Epidemiological, Clinical Progress Aspects of Congenital Heart Disease with Neonatal Revelation at the Mother-Child Hospital of Bingerville (HME) Concerning 98 Cases from January 2021 to December 2022 (C&amp;#244;te d’Ivoire)

“…In this study, hospital prevalence was 14.9%. This is higher than that of Cao (0.6%) [9] in Yunnan Région of China, of Kinda in Burkina Faso (0.98%) [7] and those of several African authors, with prevalences ranging from 0.23% in Côte d'Ivoire in a multicenter study [6] to 6% in Burkina Faso [10]. This disparity in prevalence can be explained by methodological differences.…”

“…In 2018, a multicentre hospital analysis of congenital heart disease in Côte d'Ivoire revealed a hospital prevalence of 2.3‰ admissions with delayed diagnosis, before the age of 2 years, in 96.4% at the time of respiratory difficulty [6].…”

Cardiac Surgery and Interventional Cardiology Capacity Development: Insights from Ethiopia and Côte d’Ivoire

“…Heart disease has been the subject of very few studies in children in Côte d'Ivoire as well, and all of these studies have been conducted in Abidjan, so the national prevalence of childhood heart disease is unknown. One retrospective study from a few hospital-based studies found a total of 49,760 admissions, including 228 infantile heart disease cases, with a prevalence of 4.6 percent [12]. Another retrospective research studied open heart surgery between 1978 and 2013, in which the most frequent CHD were VSD (n = 240), ASD (n = 200), partial atrioventricular sepal defect (n = 30) and ToF (n = 220), and rheumatic heart disease (RHD) was 1,475 cases [13].…”