Epidemiologic Study of Congenital Heart Diseases and Its Related Factors in Children Referred to the Pediatric Cardiac Clinic of Birjand University of Medical Sciences during 2015-2017

Authors

1 Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran.

2 Associate Professor, Cardiac Surgeon, Birjand University of Medical Sciences, Birjand, Iran.

3 Social Determinates of Health Research Center, Department of Epidemiology and Biostatistics, Birjand University of Medical Sciences, Birjand, Iran.

4 Birjand University of Medical Sciences, Birjand, Iran.

5 Department of Pediatrics, Vali-e-Asr Hospital, Birjand University of Medical Sciences, Birjand, Iran.

Abstract

Backgroundː Congenital heart disease are the most common type of maternal abnormalities that are the leading cause of mortality in the first year of life. The aim of this study was to determine the epidemiological characteristics of congenital heart disease in pediatric children referred to the Vali-e-Asr Hospital during 2015-2017.

Methods: In this descriptive-analytical cross-sectional study, the study population included 300 patients with congenital heart disease, who were referred to Pediatric Cardiac Clinic. The data collection tool was a checklist form, which was used to complete the information contained in the patient records and contact with their parents. The collected data were analyzed by SPSS software and statistically analyzed by x2 statistical test at a significant level of p≤0.05.


Results: The mean age of children with congenital heart disease at the time of diagnosis was 1.25 ± 2.92 years. 156 (52%) were male. The most common type of congenital heart disease included ventricular septal defect (28.7%), patent ductus arteriosus (18.2%), and atrial septal defect (14.6%). In 57% of cases, there was a familial relationship between parents. Down syndrome with an incidence of 3.8% was the most common anomaly. There was a significant statistical difference between each of the above variables and the beginning of pregnancy with the distribution of congenital heart disease in the children p≤0.05.

Conclusion: According to results, considering a proper screening program and conducting classes especially for high-risk groups, advise to Pregnancy at an early age, avoidance of medication during pregnancy, and avoid family marriage seem necessary.

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