Overcoming Challenges in the Management of Structural Heart Diseases in Nigerian Children

Bode-Thomas, F

doi:10.4314/jmt.v13i1.69324

Cited by 3 publications

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“…There are an estimated 300 000 school-aged children afflicted with rheumatic heart disease (RHD) 3. The prevalence of RHD in a Nigerian community was 57/100 000 school children 4.…”

Section: Introductionmentioning

confidence: 99%

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Audit of availability and distribution of paediatric cardiology services and facilities in Nigeria

Ekure¹,

Sadoh²,

Bode‐Thomas³

et al. 2017

CVJA

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SummaryBackgroundPaediatric cardiac services in Nigeria have been perceived to be inadequate but no formal documentation of availability and distribution of facilities and services has been done. Objective: To evaluate and document the currently available paediatric cardiac services in Nigeria.MethodsIn this questionnaire-based, cross-sectional descriptive study, an audit was undertaken from January 2010 to December 2014, of the personnel and infrastructure, with their distributions according to geopolitical zones of Nigeria.ResultsForty-eight centres participated in the study, with 33 paediatric cardiologists and 31 cardiac surgeons. Echocardiography, electrocardiography and pulse oximetry were available in 45 (93.8%) centres while paediatric intensive care units were in 23 (47.9%). Open-heart surgery was performed in six (12.5%) centres. South-West zone had the majority of centres (20; 41.7%).ConclusionsAvailable paediatric cardiac services in Nigeria are grossly inadequate and poorly distributed. Efforts should be intensified to upgrade existing facilities, establish new and functional centres, and train personnel.

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“…There are an estimated 300 000 school-aged children afflicted with rheumatic heart disease (RHD) 3. The prevalence of RHD in a Nigerian community was 57/100 000 school children 4.…”

Section: Introductionmentioning

confidence: 99%

“…1 , 2 There are an estimated 300 000 school-aged children afflicted with rheumatic heart disease (RHD). 3 The prevalence of RHD in a Nigerian community was 57/100 000 school children. 4 The burdens of other acquired heart diseases (AHD) of childhood, although perceived to be significant, have not been quantified.…”

Section: Introductionmentioning

confidence: 99%

Audit of availability and distribution of paediatric cardiology services and facilities in Nigeria

Ekure¹,

Sadoh²,

Bode‐Thomas³

et al. 2017

CVJA

Self Cite

View full text Add to dashboard Cite

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“…Most of the children affected by congenital heart diseases in Nigeria are either referred to foreign countries for cardiac surgery prior to 2013, or have their surgery done in Nigeria during periodic cardiac mission by foreign cardiac teams during visits to local hospital [6,7]. These teams are usually Non -governmental organizations that bring in both human and material resources to undertake cardiac surgery at a subsidized or no cost to patients in the country [7].…”

Section: Introductionmentioning

confidence: 99%

Open heart surgery in Nigerian children the need for international and regional collaboration: The Bayelsa and Enugu experience

Fa¹,

As²,

Jm³

et al. 2021

J Cardiol Cardiovasc Med

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Background: Children with congenital heart diseases (CHD) often require palliative or definitive surgical heart interventions to restore cardiopulmonary function. Lack of early cardiac intervention contributes to large numbers of potentially preventable deaths and sufferings among children with such conditions. Objectives: The aim of this study is to highlight our experience and the importance of international and regional collaboration in open heart surgery among children with CHD and capacity building of home cardiac teams in Bayelsa and Enugu States. Materials and Methods: In November 2016, a memorandum of understanding (MOU) was signed between the managements of FMC, Yenagoa, Bayelsa State, UNTH, Enugu and an Italian-based NGO- Pobic Open Heart International for collaboration in the area of free open-heart surgery for children with CHDs and training of home cardiac teams from both institutions either in Nigeria or in Italy. Patients for the program were recruited from Bayelsa and Enugu States with referrals from all over the country with combined screening and selection done in UNTH. Selected patients were operated on and funded free of charge by the Italian NGO. Hands-on training of the home cardiac teams and cardiac intervention was done twice yearly in Nigeria. Result: From inception of the program in November, 2016 to May, 2019 a total of 47 children (21 Males, 26 Females; Age range 6 months to 14 yrs) with various types of congenital heart defects have benefitted from the program with 41 surgeries done in UNTH & 6 in Italy (complex pathologies) at no cost to the recipients. Also, home cardiac teams from UNTH and FMC, Yenagoa have gained from on-site capacity training & retraining from the Italian cardiac team both in Nigeria & in Italy. The Success rate was 95.7% (44) and Case Fatality rate was 4.3% (2). Conclusion: There is a great efficacy in early cardiac intervention. This is with respect to a high success rate and minimal Case Fatality seen in this study. This was achieved through Regional and international collaboration.

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“…This is particularly so in developing countries, especially in sub-Saharan Africa, where non-communicable diseases in the paediatric age group are emerging major health and socioeconomic issues but facilities for early diagnosis and management are often lacking [2][3][4][5][6]. Congenital heart diseases (CHD) account for 8-12 / 1000 live births and approximately 30% to 40% of all individuals and also constitute appreciable inancial burden on the family and community [2,10].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of congenital heart diseases among primary school children in the Niger Delta Region of Nigeria, West Africa

Susan¹,

Nnena²,

Edewele³

2019

J Cardiol Cardiovasc Med

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congenital defects worldwide, occurring either in isolation or as part of other syndromic anomalies [7-9]. Children with CHD, especially those with critical lesions, usually present early in neonatal period, infancy and early childhood with increasing severity of their morbid state that often result in early mortality without intervention [2]. Some children with less severe lesions may survive beyond early childhood into adolescence and even adulthood, albeit with increasing morbidity and functional incapacity that result in poor quality of life and psychosocial drain for the affected

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Overcoming Challenges in the Management of Structural Heart Diseases in Nigerian Children

Cited by 3 publications

References 0 publications

Audit of availability and distribution of paediatric cardiology services and facilities in Nigeria

Audit of availability and distribution of paediatric cardiology services and facilities in Nigeria

Open heart surgery in Nigerian children the need for international and regional collaboration: The Bayelsa and Enugu experience

Prevalence of congenital heart diseases among primary school children in the Niger Delta Region of Nigeria, West Africa

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