Pediatric Heart Failure, Lagging, and Sagging of Care in Low Income Settings: A Hospital Based Review of Cases in Ethiopia
Joint Authors
Gebremariam, Solmon
Moges, Tamirat
Source
Cardiology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-16
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
Causes of acute heart failure in children range from simple myocarditis complicating chest infection to complex structural heart diseases.
Objective.
To describe patterns, predictors of mortality, and management outcomes of acute heart failure in children.
Methods.
In retrospective review, between February 2012 and October 2015 at a tertiary center, 106 admitted cases were selected consecutively from discharge records.
Data were extracted from patients chart and analyzed using SPSS software package.
t -test and statistical significance at P value < 0.05 with 95% CI were used.
Result.
Acute heart failure accounted for 2.9% of the total pediatric admissions.
The age ranged from 2 months up to 14 years with mean age of 8 years.
Male to female ratio is 1 : 2.1.
Rheumatic heart disease accounted for 53.7%; pneumonia, anemia, infective endocarditis, and recurrence of acute rheumatic fever were the main precipitating causes.
Death occurred in 19% of cases.
Younger age at presentation, low hemoglobin concentration, and undernutrition were associated with death with P value of 0.00, 0.01, and 0.02, respectively.
Conclusions and Recommendation.
Pediatric heart failure in our settings is diagnosed mainly in older age groups and mostly precipitated due to preventable causes.
Significant mortality is observed in relation to factors that can be preventable in children with underlying structural heart disease.
Early suspicion and diagnosis of cases may reduce the observed high mortality.
American Psychological Association (APA)
Gebremariam, Solmon& Moges, Tamirat. 2016. Pediatric Heart Failure, Lagging, and Sagging of Care in Low Income Settings: A Hospital Based Review of Cases in Ethiopia. Cardiology Research and Practice،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1103296
Modern Language Association (MLA)
Gebremariam, Solmon& Moges, Tamirat. Pediatric Heart Failure, Lagging, and Sagging of Care in Low Income Settings: A Hospital Based Review of Cases in Ethiopia. Cardiology Research and Practice No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1103296
American Medical Association (AMA)
Gebremariam, Solmon& Moges, Tamirat. Pediatric Heart Failure, Lagging, and Sagging of Care in Low Income Settings: A Hospital Based Review of Cases in Ethiopia. Cardiology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1103296
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1103296