TITLE:
Congenital Heart Disease in Newborns: Epidemiological and Clinical Particularities in a Neonatology Department in Mali
AUTHORS:
Abdoul Karim Doumbia, Oumou Koné, Adama Dembélé, Noumou Sidibé, Noel Banou, Hawa Gouro Diall, Pierre Togo, Oumar Coulibaly, Karamoko Sacko, Djéneba Konaté, Tati Simaga Lala Ndrainy Sidibé, Fatoumata Léonie Diakité, Boubacar Diarra, Guédiouma Dembélé, Belco Maïga, Mohamed Elmouloud Cissé, Hawa Konaré, Aminata Doumbia, Ibrahim Ahamadou, Abdoul Aziz Diakité, Fatoumata Dicko Traoré, Boubacar Togo
KEYWORDS:
Congenital Heart Disease, Neonates, Management
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.12 No.5,
November
29,
2022
ABSTRACT: Introduction: Congenital heart disease is an
important cause of mortality, chronic morbidity, and disability in children in
poor countries. The objective of this study was to highlight the diversity of
congenital heart defects in the neonatology department. Methodology: This
work had taken place in a neonatology service over a period of six months from
January 2019 to June 2019. It was a prospective descriptive study with
information collected from the medical records of newborns with congenital
heart disease. Results: Of 1478 neonates hospitalized during the study
period, 41 had congenital heart disease, for a hospitalization
rate of 2.77%. CHD accounted for 2.77% of neonatal hospitalizations. The sex
ratio was 1.73 (26 boys/15 girls). Consanguinity was found in 19% of cases. The
average time to consultation was 11 days. The main clinical signs were heart
murmur (58%), respiratory distress (56%) and extracardiac malformations (54%).
The main cardiac malformations found were atrial septal defect (46%), patent
ductus arteriosus (44%), ventricular septal defect (17%), complete
atrioventricular canal (15%), and transposition of the great vessels (5%). The
case fatality rate was 29%. Conclusion: Delayed diagnosis, generally
related to the long delay in consultation, and lack of surgical management
partly explain this high case fatality.