Children’s heart disease in sub-Saharan Africa: Challenging the burden of disease

Hewitson, John; Zilla, Peter

doi:10.24170/7-1-1964

Cited by 26 publications

(39 citation statements)

References 64 publications

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“…[5] Without an early diagnosis and appropriate treatment, half of those born with significant CHD will die in infancy or early childhood, a third of them within the first month of life. [4,6] Newborn pulse oximetry (POx) is the first appropriately simple method for universal screening for CHD, [7] the earliest reports having been published in 1995. The rationale is that most CCHD results in a degree of hypoxaemia that would not necessarily produce visible cyanosis and would therefore not be clinically detectable.…”

Section: Researchmentioning

confidence: 99%

Feasibility of Pulse Oximetry Pre-discharge Screening Implementation for detecting Critical Congenital heart Lesions in newborns in a secondary level maternity hospital in the Western Cape, South Africa: The ‘POPSICLe’ study

et al. 2016

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Section: Researchmentioning

confidence: 99%

Feasibility of Pulse Oximetry Pre-discharge Screening Implementation for detecting Critical Congenital heart Lesions in newborns in a secondary level maternity hospital in the Western Cape, South Africa: The ‘POPSICLe’ study

et al. 2016

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“…1 However, this level of care that is available in the developed world is not within the reach of children born with CHD in developing countries. 2 In sub-Saharan Africa (SSA), for example, extreme poverty has largely prevented the development of pediatric cardiac surgery in all but a handful of the 48 countries found here. Congenital heart defects constitute the majority of birth defects and account for more deaths in the first year of life than any other condition when infectious etiologies are excluded.…”

Section: Introductionmentioning

confidence: 99%

Conotruncal Heart Defect Repair in Sub-Saharan Africa

Edwin

Entsua-Mensah

Sereboe

et al. 2016

World J Pediatr Congenit Heart Surg

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“…It is often overshadowed by communicable diseases like malaria, HIV and diarrhea. [6]. Therefore few children with CHD received cardiac interventions via medical tourism, which became popular in the country due to poorly funded and badly managed health sector.…”

Section: Introductionmentioning

confidence: 99%

Status of Congenital Heart Defects in Nigeria: The Role of Cardiac Surgery

Nwafor¹,

Eze²

2019

WJCS

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Background: Unlike in developed countries, the delivery of cardiovascular services to children born with congenital heart defects in Nigeria is inadequate. There are problems at both pediatric and adult ages with high morbidity and mortality on account of inadequate surgical care. Objective: To determine the status of congenital defects and assess the impact of foreign cardiac missionary missions vis-à-vis the effects on the magnitude as well as on the educational program for the local cardiac team. Materials and Method: In the last 5.5 years, Foreign Cardiac Surgery missions were reinstituted at National Cardiothoracic Center of Excellence, Enugu, Nigeria. The participants performed cardiac interventions on a variety of patients with CHD. We performed a retrospective review of this endeavor. Patients' demographics, number of patients, age ranges, types of CHD and clinical evaluation methodology were obtained from our hospital's record department. We also assessed types of cardiac interventions, outcome and challenges and the impacts of the foreign cardiac surgery missions. Results: During the study period, a total of 72 children with CHD were evaluated. They were 39 males and 33 females. The age ranged between 0-10 years in children and 41-50 years in the adult. We studied both simple and complex anomalies. A VSD was the commonest (n = 22, 27.16%). Conclusion: Foreign congenital cardiac surgery missions were not able to provide adequate services for the care of CHD that require cardiac surgery both in terms of reduction in magnitude as well as adequate educational program for the local cardiac team. Thus infants, in particular, suffer an early death. The need for governmental support to develop a comprehensive program to care for these patients is essential in Nigeria and other developing countries.

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Children’s heart disease in sub-Saharan Africa: Challenging the burden of disease

Cited by 26 publications

References 64 publications

Feasibility of Pulse Oximetry Pre-discharge Screening Implementation for detecting Critical Congenital heart Lesions in newborns in a secondary level maternity hospital in the Western Cape, South Africa: The ‘POPSICLe’ study

Feasibility of Pulse Oximetry Pre-discharge Screening Implementation for detecting Critical Congenital heart Lesions in newborns in a secondary level maternity hospital in the Western Cape, South Africa: The ‘POPSICLe’ study

Conotruncal Heart Defect Repair in Sub-Saharan Africa

Status of Congenital Heart Defects in Nigeria: The Role of Cardiac Surgery

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