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Congenital heart disease in 37,294 births in Tunisia: birth prevalence and mortality rate

Published online by Cambridge University Press:  08 October 2013

Dorra Abid*
Affiliation:
Cardiology Department, Hedi Chaker Hospital, Sfax, Tunisia
Anis Elloumi
Affiliation:
Cardiology Department, Hedi Chaker Hospital, Sfax, Tunisia
Leila Abid
Affiliation:
Cardiology Department, Hedi Chaker Hospital, Sfax, Tunisia
Souad Mallek
Affiliation:
Cardiology Department, Hedi Chaker Hospital, Sfax, Tunisia
Hajer Aloulou
Affiliation:
Department of Pediatrics, Hedi Chaker Hospital, Sfax, Tunisia
Imen Chabchoub
Affiliation:
Department of Pediatrics, Hedi Chaker Hospital, Sfax, Tunisia
Amira Bouraoui
Affiliation:
Neonatal Intensive Care Unit, Hedi Chaker Hospital, Sfax, Tunisia
Afef Thabet
Affiliation:
Neonatal Intensive Care Unit, Hedi Chaker Hospital, Sfax, Tunisia
Lamia Gargouri
Affiliation:
Pediatric Intensive Care Unit, Hedi Chaker Hospital, Sfax, Tunisia
Malek Zribi
Affiliation:
Department of Forensic Medicine, Habib Bourguiba Hospital, Sfax, Tunisia
Sourour Yaich
Affiliation:
Department of Epidemiology, Hedi Chaker Hospital, Sfax, Tunisia
Mongia Hachicha
Affiliation:
Department of Pediatrics, Hedi Chaker Hospital, Sfax, Tunisia
Abdellatif Gargouri
Affiliation:
Neonatal Intensive Care Unit, Hedi Chaker Hospital, Sfax, Tunisia
Abdelmajid Mahfoudh
Affiliation:
Pediatric Intensive Care Unit, Hedi Chaker Hospital, Sfax, Tunisia
Samir Maatoug
Affiliation:
Department of Forensic Medicine, Habib Bourguiba Hospital, Sfax, Tunisia
Jamel Dammak
Affiliation:
Department of Epidemiology, Hedi Chaker Hospital, Sfax, Tunisia
Samir Kammoun
Affiliation:
Cardiology Department, Hedi Chaker Hospital, Sfax, Tunisia
*
Correspondence to: Dr D. Abid, Department of Cardiology, Hedi Chaker Hospital, El ain street km 0,5; 3029 Sfax, Tunisia. Tel: 0021674243992; Fax: 0021674243992; E-mail: dorraabid@yahoo.com

Abstract

Aim: To investigate the previously unknown birth incidence, treatment, and mortality of children with congenital heart disease in Tunisia. Methods: We undertook a retrospective review of medical records of all patients who were born in 2010 and 2011, and were diagnosed in Sfax (Tunisia) with congenital heart defect. Results: Among 37,294 births, 255 children were detected to have congenital heart disease, yielding a birth incidence of 6.8 per 1000. The most frequently occurring conditions were ventricular septal defects (31%), ostium secundum atrial septal defects (12.9%), and pulmonary valve abnormalities (12%). Coarctation of the aorta, tetralogy of Fallot, univentricular physiology, pulmonary atresia with ventricular septal defect, and transposition of the great arteries were found in 4.3%, 6.2%, 3.4%, 2.7%, and 2.7%, respectively. During the follow-up of 1 year, 23% of the children died. About three-quarters of those deaths happened before surgery. Conclusion: The present study is in line with the general estimates in the world. It has revealed a high case of mortality among the patients awaiting corrective surgery. These children need more facilities.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2013 

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References

1. Van der Linde, D, Konings, EM, Slager, MA, et al. Birth prevalence of congenital heart disease worldwide. J Am Coll Cardiol 2011; 58: 22412247.CrossRefGoogle ScholarPubMed
2. Botto, LD, Correa, A, Erickson, JD. Racial and temporal variations in the prevalence of heart defects. Pediatrics 2001; 107: e32.CrossRefGoogle Scholar
3. Hoffman, JI, Kaplan, S. The incidence of congenital heart disease. J Am Coll Cardiol 2002; 39: 18901900.CrossRefGoogle ScholarPubMed
4. Wren, C, Richmond, S, Donaldson, L. Temporal variability in birth prevalence of cardiovascular malformations. Heart 2000; 83: 414419.CrossRefGoogle ScholarPubMed
5. Kuehl, KS, Loffredo, CA, Ferencz, C. Failure to diagnose congenital heart disease in infancy. Pediatrics 1999; 103: 743747.CrossRefGoogle ScholarPubMed
6. Stolf, NA. Congenital heart surgery in a developing country: a few men for a great challenge. Circulation 2007; 116: 18741875.CrossRefGoogle Scholar
7. Riehle-Colarusso, T, Strickland, MJ, Reller, MD, et al. Improving the quality of surveillance data on congenital heart defects in the metropolitan Atlanta congenital defects program. Birth Defects Res A Clin Mol Teratol 2007; 79: 743753.CrossRefGoogle Scholar
8. Reller, MD, Strickland, MJ, Riehle-Colarusso, T, et al. Prevalence of congenital heart defects in metropolitan Atlanta, 1998–2005. Pediatr 2008; 153: 807813.CrossRefGoogle Scholar
9. Dolk, H, Loane, MA, Garne, E and a European Surveillance of Congenital Anomalies (EUROCAT) Working Group. Congenital heart defects in Europe: prevalence and perinatal mortality, 2000 to 2005. Circulation 2011; 123: 841849.CrossRefGoogle ScholarPubMed
10. Vaidyanathan, B, Sathish, G, Mohanan, ST, et al. Clinical screening for congenital heart disease at birth: a prospective study in a community hospital in Kerala. Indian Pediatr 2011; 48: 2530.CrossRefGoogle Scholar
11. Samanek, M, Voriskova, M. Congenital heart disease among 815,569 children born between 1980 and 1990 and their 14-year survival: a prospective Bohemia survival study. Pediatr Cardiol 1999; 20: 411417.CrossRefGoogle Scholar
12. Wren, C, O'Sullivan, JJ. Survival with congenital heart disease and need for follow up in adult life. Heart 2001; 85: 438443.CrossRefGoogle ScholarPubMed
13. Bosi, G, Garani, G, Scorrano, M, Calzolari, E. Temporal variability in birth prevalence of congenital heart defects as recorded by a general birth defects registry. J Pediatr 2003; 142: 690698.CrossRefGoogle ScholarPubMed
14. Calzolari, E, Garani, G, Cocchi, G, et al. Congenital heart defects: 15 years of experience of the Emilia-Romagna Registry (Italy). Eur J Epidemiol 2003; 18: 773780.CrossRefGoogle Scholar
15. Marelli, AJ, Mackie, AS, Ionescu-Ittu, R, Rahme, E, Pilote, L. Congenital heart disease in the general population: changing prevalence and age distribution. Circulation 2007; 115: 163172.CrossRefGoogle ScholarPubMed
16. Moons, P, Sluysmans, T, De Wolf, D, et al. Congenital heart disease in 111,225 births in Belgium: birth prevalence, treatment and survival in the 21st century. Acta Pædiatrica 2009 ; 98: 472477.CrossRefGoogle Scholar
18. Ritz, B, Yu, F, Fruin, S, Chapa, G, Shaw, GM, Harris, JA. Ambient air pollution and risk of birth defects in Southern California. Am J Epidemiol 2002; 155: 1725.CrossRefGoogle ScholarPubMed
19. Vrijheid, M, Martinez, D, Manzanares, S, et al. Ambient air pollution and risk of congenital anomalies: a systematic review and meta-analysis. Environ Health Perspect 2011; 119: 598606.CrossRefGoogle ScholarPubMed
20. Mocumbi, AO, Lameira, E, Yaksh, A, Paul, L, Ferreira, MB, Sidi, D. Challenges on the management of congenital heart disease in developing countries. Int J Cardiol 2011; 148: 285288.CrossRefGoogle ScholarPubMed
21. Awori, MN, Ogendo, SW, Gitome, SW, Ong'uti, SK, Obonyo, NG. Management pathway for congenital heart disease at Kennyatta National Hospital, Nairobi. East Afr Med J 2007; 84: 312317.Google ScholarPubMed
22. Trucco, SM, Barnoya, J, Larrazabal, LA, Castañeda, A, Teitel, DF. Detection rates of congenital heart disease in Guatemala. Cardiol Young 2011; 21: 153160.CrossRefGoogle ScholarPubMed
23. Wickramasinghe, P, Lamabadusuriya, S, Narenthiran, S. Prospective study of congenital heart disease in children. Ceylon Med J 2001; 46: 9698.CrossRefGoogle ScholarPubMed
24. Kovalchin, JP, Silverman, NH. The impact of fetal echocardiography. Pediatr Cardiol 2004; 25: 299306.CrossRefGoogle Scholar
25. Yacoub, MH. Establishing pediatric cardiovascular services in the developing world. Circulation 2007; 116: 18761878.CrossRefGoogle ScholarPubMed
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