Frequency and pattern of Paediatric Heart Diseases: Five years experience at The Children’s Hospital, Multan

Arshad, Muhammad Sohail; Anwar-ul-Haq, Hafiz Muhammad; Adnan, Mudasser; Zulqarnain, Arif

doi:10.12669/pjms.36.6.2312

Cited by 6 publications

(10 citation statements)

References 10 publications

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“…16 Recent local data from Multan also correlates well with the present findings where the authors found VSD, ASD and TOF to be the most prevalent types of CHDs observed among 25.8%, 19.8% and 12.2% cases. 11 VSD is said to be the most frequent type of CHD worldwide and present study reiterates that VSD is also the most frequent type of CHD among Children in Pakistan. 17 In terms of risk factors evaluated for CHDs among children in the present study, young age, bad obstetrical history, history of febrile illness in 1 st trimester of pregnancy and lack of multivitamins and folic acid in the 1 st trimester of pregnancy were found to have significant association with the existence of CHD (p<0.05).…”

Section: Is Showing Comparison Of Characteristics Of Children Between Cases and Controlssupporting

confidence: 63%

“…Recent local data suggested 83.4% children with diagnosis of CHDs to be below 1 year of age. 11 Regional data also suggested 69.7% of the CHD cases to have age less than 1 year. 13 A local study revealed 71% children with CHDs to have age below 1 year.…”

Section: Is Showing Comparison Of Characteristics Of Children Between Cases and Controlsmentioning

confidence: 98%

“…A recent study from Multan revealed 55.8% children with CHDs to be male which is quite similar to what we noted in the present study. 11 Another local study by Mohammad N and Colleagues 12 stated 55% of the children with heart diseases to be male while data from neighboring India 13 revealed 66% CHD cases to be male. The exact cause of male predominance among children with CHD is not yet known.…”

Section: Is Showing Comparison Of Characteristics Of Children Between Cases and Controlsmentioning

confidence: 98%

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Pattern of Congenital Heart Diseases and Associated Risk Factors among Children at a Tertiary Care Hospital

Iqbal¹,

Khan²,

Ahmed³

et al. 2021

PJMHS

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Objective: To find out the pattern of CHD and associated risk factors among children presenting at a tertiary care hospital. Study Design: A case-control study. Place and Duration of the Study: The Department of Pediatrics and Department of Cardiology, Sheikh Khalifa Bin Zayed Al Nahyan Hospital, Rawlakot from July 2020 to June 2021. Material and Methods: A total of 207 children of both genders, screened by ECG along with chest x-ray and further confirmed with the diagnosis of CHD through echocardiography were enrolled as cases. Same number of healthy controls (n=207) were recruited from immunization center of the study institution. Among cases, types of CHD were noted. For cases and controls, demographic, antenatal and maternal risk factors including maternal age, gender of the child, history of consanguinity, history of febrile illness in pregnancy, use or multi-vitamin or folic acid in pregnancy, bad obstetrical history and maternal diabetes mellitus were noted. Results: In a total of 414 children (207 cases and 207 controls), there were 219 (53.8%) male. In terms of CHD types among cases, VSD was the most noted in 62 (30.0%), ASD 35 (16.9%), TOF 33 (15.9%) and PDA in 30 (14.5%). Cases were found to have significant association with younger age (78.3% cases below 1 year of age vs. 64.7% in controls, p=0.0085), bad obstetrical history (p=0.0002), history of febrile illness in 1st trimester of pregnancy (p=0.0229) and lack of multivitamins and folic acid in the 1st trimester of pregnancy (p=0.0147). Conclusion: Majority of the children with CHDs were male and aged below 1 year. VSD, ASD, TOF and PDA were the most frequent types of CHD. Younger age, bad obstetrical history, history of febrile illness in 1st trimester of pregnancy and lack of multivitamins and folic acid in the 1st trimester of pregnancy were found to have significant association with CHDs among children. Keywords: Congenital heart disease, echocardiography, ventricular septal defect.

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Section: Is Showing Comparison Of Characteristics Of Children Between Cases and Controlssupporting

confidence: 63%

Section: Is Showing Comparison Of Characteristics Of Children Between Cases and Controlsmentioning

confidence: 98%

Section: Is Showing Comparison Of Characteristics Of Children Between Cases and Controlsmentioning

confidence: 98%

See 1 more Smart Citation

Pattern of Congenital Heart Diseases and Associated Risk Factors among Children at a Tertiary Care Hospital

Iqbal¹,

Khan²,

Ahmed³

et al. 2021

PJMHS

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“…Our findings are consistent with other researchers where male predominance has been revealed among children with CHD. [14][15][16] Majority of the children (73.0%) were aged below 1 year. Data from other countries show that due to optimal predelivery and neonatal screening, majority of the CHD cases are diagnosed well within or before the neonatal age group.…”

Section: Discussionmentioning

confidence: 99%

Analysis of children with congenital heart defects hospitalized with lower respiratory tract infections.

Shahnawaz¹,

Zahoor

Korejo

et al. 2022

TPMJ

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Objective: To analyze children of congenital heart defect hospitalized with lower respiratory tract infections (LRTIs). Study Design: Cohort study. Setting: Department of Pediatrics, Rai Medical College Teaching Hospital, Sargodha Pakistan. Period: July 2021 to June 2022. Material & Methods: Echocardiography confirmed known CHD cases of both genders aged 1 month to 10 years and hospitalized with LRTI were included. Demographic and clinical data were noted while relevant radiological examination and bacterial culture / respiratory virus panel from nasopharayngeal swabs examined. Types of CHD (acyanotic or cyanotic), types of bacterial causative agents and outcomes in terms of duration of hospitalization (days) and mortality or discharged were noted. Results: In a total of 63 children, 34 (54.0%) were male. The mean age was 1.56±1.42 years while 46 (73.0%) children were aged below 1 year. Assessment of causative agents revealed that 9 (14.3%) had viral involvement, 8 (12.7%) bacterial agents. Majority of the children, 44 (69.8%) had acyanotic CHD while remaining 19 (30.2%) had cyanotic CHD. Need for pediatric intensive care unit (PICU) admission was noted in 22 (34.9%). Although, need for PICU stay was more among children with acyanotic CHD when compared to cyanotic CHD, but the difference did not reach statistical significance (40.9% vs. 21.1%, p=0.1292). Likewise, duration of hospitalization was relatively more among children with acyanotic CHD when compared to children with cyanotic CHD but the difference did not reach statistical significance (17.65±8.21 vs. 14.3±6.84, p=0.1243). Conclusion: Majority of the children with CHD hospitalized with LRTI were below 1 year of age. Acyanotic CHD was the most common CHD type. Mortality was relatively low and most of the children with CHD hospitalized with LRTI were treated and discharged successfully.

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“…However, the lack of healthcare facilities and diagnosis worsen the prognosis of congenital heart disease children [8]. Ventricular septal defect (VSD) and tetralogy of fallot (TOF) are considered as most common acyanotic and cyanotic heart disease respectively in Pakistan [9]. An Indian-based study reported the incidence of VSD, atrial septal defect (ASD), patent ductus arteriosus (PDA) were 30.4%, 17.6%, and 9.6% respectively [10].…”

Section: Introductionmentioning

confidence: 99%

Clinical Pattern and Malnutrition among Children with Congenital Heart Disease at Tertiary Care Hospital

Gul¹,

Nazir²,

Mazhar³

et al. 2022

PJMHS

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Background and Aim: Congenital heart disease is defined as the heart or intra-thoracic great vessel structural abnormalities present since birth with significantly functional irrespective of their detection age. It is the most prominent congenital anomaly and cause of morbidity and mortality among the pediatric age group population. The present study aimed to investigate the clinical pattern and malnutrition among children with congenital heart disease. Methodology: This descriptive cross-sectional study was carried out on 132 congenital heart disease patients in the Department of Pediatric, Imran Idrees Teaching Hospital Sialkot from January 2021 to December 2021. Children with clinical basis of cyanosis, feeding refusal, decreased activity, cough, hurried breathing, fever, and excessive sweating were enrolled. Acquired heart diseases and post-operative cardiac cases were excluded. Eligible children were assessed for sociodemographic details, physical examination, nutritional status, history, and types of congenital heart diseases. SPSS version 25 was used for data analysis. Results: Of the total 132 CHD children, there were 92 (69.7%) male and 40 (30.3%) females. The prevalence of acyanotic heart diseases, cyanotic heart diseases, complex CHD, and valvular diseases were 98 (74.2%), 22 (16.7%), 10 (7.6%), and 2 (1.5%) respectively. Age-wise distribution of all the children were as follows: 38 (28.8%) < 1 month, 62 (47%) 1 month-1 year, 20 (15.2%) 1-5 years, and 12 (9.1%) 5-10 years. Based on presented symptoms, the incidence of breathlessness, fever, cough, and other symptoms were 68 (51.5%), 58 (43.9%), 54 (40.9%), and 49 (37.1%) respectively. The incidence of protein-energy malnutrition and normal cases were 72 (54.5%) and 60 (45.5%) respectively. Anemia was the most prevalent risk factor CHD in 52 (39.4%) cases followed by pneumonia 41 (31.1%). Conclusion: The present study concluded that acyanotic heart diseases were the most commonly found in children followed by cyanotic, complex, and valvular diseases. Infancy and childhood age are more susceptible to congenital heart diseases. Breathlessness and fever were the most common symptoms. Nutritional anemia followed by pneumonia and failure to thrive were the major risk factors for congenital heart diseases among children. Keywords: Congenital heart diseases, Clinical pattern, Malnutrition

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Frequency and pattern of Paediatric Heart Diseases: Five years experience at The Children’s Hospital, Multan

Cited by 6 publications

References 10 publications

Pattern of Congenital Heart Diseases and Associated Risk Factors among Children at a Tertiary Care Hospital

Pattern of Congenital Heart Diseases and Associated Risk Factors among Children at a Tertiary Care Hospital

Analysis of children with congenital heart defects hospitalized with lower respiratory tract infections.

Clinical Pattern and Malnutrition among Children with Congenital Heart Disease at Tertiary Care Hospital

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