| Peer-Reviewed

Delayed in Diagnosis of Congenital Heart Disease and Associated Factors Among Pediatric Patients in Cardiac Center Addis Ababa, Ethiopia, 2021/2022 G.C

Received: 19 April 2022    Accepted: 20 May 2022    Published: 31 May 2022
Views:       Downloads:
Abstract

Morbidity and mortality due to congenital heart disease was primarily caused by delay in diagnosis. Early screening of neonates at birth identifies congenital heart disease and decreases complications related to delayed diagnosis. To assess delayed in diagnosis of congenital heart disease and associated factors among pediatric patients who were registered in Cardiac Center Ethiopia from January 1, 2018, to December 30, 2020. Institutional based cross-sectional study design was used to assess delayed in diagnosis of congenital heart disease and associated factors among pediatric patients in the cardiac center in Addis Ababa, Ethiopia and charts were selected using systematic random sampling out of 216 registered congenital heart disease pediatrics patients who fulfilled the inclusion criteria. The data was entered into Epi-data version 3.1 for cleaning and completeness and exported to SPSS version 23 for analysis. Then by binary logistic regression variables which p-value < 0.25 was identified and moved to multivariate logistic regression. Any statistical test with p-value < 0.05 at 95% CI was considered as statistically significant. In this study, 216 children were included, delayed diagnosis of CHD was identified in 206 (95.4%) record reviews. In multivariable logistic regression analysis, Maternal education for those who were illiterate mothers was 89.7% than delay in diagnosis of literate mother [AOR=0.103 (95% CI= (0.022-0.493)]. Place of child delivery in Health center about 97% delay in diagnosis of CHD than delivery in hospitals AOR=0.030 (95% CI= (0.003-0.293)]. Gestational age in weeks during delivery term baby 87.6% delay in diagnosis of CHD than preterm baby [AOR=0.124 (95% CI (0.020-0.758)]. The overall delay in the diagnosis of CHD was 95.4%. Maternal education, place of child delivery, and gestational age were independently associated with the delayed diagnosis of CHD. Health institutions are strongly recommended to give training to health care providers on screening of CHD during delivery.

Published in American Journal of Health Research (Volume 10, Issue 3)
DOI 10.11648/j.ajhr.20221003.12
Page(s) 51-62
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Delay Diagnosis, Congenital Heart Disease, Pediatrics

References
[1] Rao PS. Congenital heart defects–A review. Congenital heart disease-Selected aspects. 2012: 3-44.
[2] Al-Hamash SM. Pattern of congenital heart disease: a hospitalbased study. Al Kindy College Medical Journal. 2006; 3: 44-8.
[3] Van Der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. Journal of the American College of Cardiology. 2011; 58 (21): 2241-7.
[4] Hoffman JI, Kaplan S. The incidence of congenital heart disease. Journal of the American college of cardiology. 2002; 39 (12): 1890-900.
[5] Statistik-Bps SI-BP. National Population and Family Planning Board-BKKBN/Indonesia, Kementerian Kesehatan-Kemenkes-Ministry of Health/Indonesia, ICF International. Indonesia Demographic and Health Survey (IDHS). 2017; 2018: 1-606.
[6] Massin M, Dessy H. Delayed recognition of congenital heart disease. Postgraduate medical journal. 2006; 82 (969): 468-70.
[7] Rapoff MA. Adherence to pediatric medical regimens: Springer Science & Business Media; 2009.
[8] Bruneau BG, Srivastava D. Congenital heart disease: entering a new era of human genetics. Circulation research. 2014; 114 (4): 598-9.
[9] Rychik J, Ayres N, Cuneo B, Gotteiner N, Hornberger L, Spevak PJ, et al. American Society of Echocardiography guidelines and standards for performance of the fetal echocardiogram. Journal of the American Society of Echocardiography. 2004; 17 (7): 803-10.
[10] Troeger C, Forouzanfar M, Rao PC, Khalil I, Brown A, Reiner Jr RC, et al. Estimates of global, regional, and national morbidity, mortality, and aetiologies of diarrhoeal diseases: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet Infectious Diseases. 2017; 17 (9): 909-48.
[11] Simeone RM, Oster ME, Cassell CH, Armour BS, Gray DT, Honein MA. Pediatric inpatient hospital resource use for congenital heart defects. Birth Defects Research Part A: Clinical and Molecular Teratology. 2014; 100 (12): 934-43.
[12] Peterson C, Dawson A, Grosse SD, Riehle-Colarusso T, Olney RS, Tanner JP, et al. Hospitalizations, costs, and mortality among infants with critical congenital heart disease: how important is timely detection? Birth Defects Research Part A: Clinical and Molecular Teratology. 2013; 97 (10): 664-72.
[13] Peterson C, Ailes E, Riehle-Colarusso T, Oster ME, Olney RS, Cassell CH, et al. Late detection of critical congenital heart disease among US infants: estimation of the potential impact of proposed universal screening using pulse oximetry. JAMA pediatrics. 2014; 168 (4): 361-70.
[14] Rashid U, Qureshi AU, Hyder SN, Sadiq M. Pattern of congenital heart disease in a developing country tertiary care center: Factors associated with delayed diagnosis. Annals of pediatric cardiology. 2016; 9 (3): 210.
[15] Liberman RF, Getz KD, Lin AE, Higgins CA, Sekhavat S, Markenson GR, et al. Delayed diagnosis of critical congenital heart defects: trends and associated factors. Pediatrics. 2014; 134 (2): e373-e81.
[16] Iyer PU, Moreno GE, Caneo LF, Faiz T, Shekerdemian LS, Iyer KS. Management of late presentation congenital heart disease. Cardiology in the Young. 2017; 27 (S6): S31-S9.
[17] Brown KL, Ridout DA, Hoskote A, Verhulst L, Ricci M, Bull C. Delayed diagnosis of congenital heart disease worsens preoperative condition and outcome of surgery in neonates. Heart. 2006; 92 (9): 1298-302.
[18] Pfammatter J-P, Stocker F. Delayed recognition of haemodynamically relevant congenital heart disease. European journal of pediatrics. 2001; 160 (4): 231-4.
[19] Hoffman JI. The global burden of congenital heart disease. Cardiovascular journal of Africa. 2013; 24 (4): 141-5.
[20] Rao PS. Consensus on timing of intervention for common congenital heart diseases: part I-acyanotic heart defects. The Indian Journal of Pediatrics. 2013; 80 (1): 32-8.
[21] Iqbal S, Saidullah S, Ahmed RI, Khan MAA, Ahmed N, KHAN MF. Factors Contributing to Delayed Diagnosis of Congenital Heart Disease in Pediatric Population. Age (Years). 2021; 2 (184): 69.4.
[22] Murni IK, Wirawan MT, Patmasari L, Sativa ER, Arafuri N, Nugroho S. Delayed diagnosis in children with congenital heart disease: a mixed-method study. BMC pediatrics. 2021; 21 (1): 1-7.
[23] Mocumbi AO, Lameira E, Yaksh A, Paul L, Ferreira MB, Sidi D. Challenges on the management of congenital heart disease in developing countries. International journal of cardiology. 2011; 148 (3): 285-8.
[24] Ng’eno-Owino MC. Factors associated with late diagnosis of Congenital Heart Disease in Kenya. 2018.
[25] Talarge F, Seyoum G, Tamirat M. Congenital heart defects and associated factors in children with congenital anomalies. Ethiop Med J. 2018; 56 (4): 335-42.
[26] Sawyer DB, Vasan RS. Encyclopedia of Cardiovascular Research and Medicine: Elsevier; 2017.
[27] Pfammatter J-P, Keuffer A. Timely diagnosis of congenital heart disease-did we improve? Cardiovascular medicine. 2015; 18 (10): 282-4.
[28] Parker NP, Walner DL. Trends in the indications for pediatric tonsillectomy or adenotonsillectomy. International journal of pediatric otorhinolaryngology. 2011; 75 (2): 282-5.
[29] Organization WH. WHO recommendations on postnatal care of the mother and newborn: World Health Organization; 2014.
[30] Melkamu AW, Bitew BD, Muhammad EA, Hunegnaw MT. Prevalence of growth monitoring practice and its associated factors at public health facilities of North Gondar zone, northwest Ethiopia: an institution-based mixed study. BMC pediatrics. 2019; 19 (1): 1-8.
Cite This Article
  • APA Style

    Tesfaye Hurisa, Hirut Megersa, Tigist Tsegaye. (2022). Delayed in Diagnosis of Congenital Heart Disease and Associated Factors Among Pediatric Patients in Cardiac Center Addis Ababa, Ethiopia, 2021/2022 G.C. American Journal of Health Research, 10(3), 51-62. https://doi.org/10.11648/j.ajhr.20221003.12

    Copy | Download

    ACS Style

    Tesfaye Hurisa; Hirut Megersa; Tigist Tsegaye. Delayed in Diagnosis of Congenital Heart Disease and Associated Factors Among Pediatric Patients in Cardiac Center Addis Ababa, Ethiopia, 2021/2022 G.C. Am. J. Health Res. 2022, 10(3), 51-62. doi: 10.11648/j.ajhr.20221003.12

    Copy | Download

    AMA Style

    Tesfaye Hurisa, Hirut Megersa, Tigist Tsegaye. Delayed in Diagnosis of Congenital Heart Disease and Associated Factors Among Pediatric Patients in Cardiac Center Addis Ababa, Ethiopia, 2021/2022 G.C. Am J Health Res. 2022;10(3):51-62. doi: 10.11648/j.ajhr.20221003.12

    Copy | Download

  • @article{10.11648/j.ajhr.20221003.12,
      author = {Tesfaye Hurisa and Hirut Megersa and Tigist Tsegaye},
      title = {Delayed in Diagnosis of Congenital Heart Disease and Associated Factors Among Pediatric Patients in Cardiac Center Addis Ababa, Ethiopia, 2021/2022 G.C},
      journal = {American Journal of Health Research},
      volume = {10},
      number = {3},
      pages = {51-62},
      doi = {10.11648/j.ajhr.20221003.12},
      url = {https://doi.org/10.11648/j.ajhr.20221003.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20221003.12},
      abstract = {Morbidity and mortality due to congenital heart disease was primarily caused by delay in diagnosis. Early screening of neonates at birth identifies congenital heart disease and decreases complications related to delayed diagnosis. To assess delayed in diagnosis of congenital heart disease and associated factors among pediatric patients who were registered in Cardiac Center Ethiopia from January 1, 2018, to December 30, 2020. Institutional based cross-sectional study design was used to assess delayed in diagnosis of congenital heart disease and associated factors among pediatric patients in the cardiac center in Addis Ababa, Ethiopia and charts were selected using systematic random sampling out of 216 registered congenital heart disease pediatrics patients who fulfilled the inclusion criteria. The data was entered into Epi-data version 3.1 for cleaning and completeness and exported to SPSS version 23 for analysis. Then by binary logistic regression variables which p-value < 0.25 was identified and moved to multivariate logistic regression. Any statistical test with p-value < 0.05 at 95% CI was considered as statistically significant. In this study, 216 children were included, delayed diagnosis of CHD was identified in 206 (95.4%) record reviews. In multivariable logistic regression analysis, Maternal education for those who were illiterate mothers was 89.7% than delay in diagnosis of literate mother [AOR=0.103 (95% CI= (0.022-0.493)]. Place of child delivery in Health center about 97% delay in diagnosis of CHD than delivery in hospitals AOR=0.030 (95% CI= (0.003-0.293)]. Gestational age in weeks during delivery term baby 87.6% delay in diagnosis of CHD than preterm baby [AOR=0.124 (95% CI (0.020-0.758)]. The overall delay in the diagnosis of CHD was 95.4%. Maternal education, place of child delivery, and gestational age were independently associated with the delayed diagnosis of CHD. Health institutions are strongly recommended to give training to health care providers on screening of CHD during delivery.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Delayed in Diagnosis of Congenital Heart Disease and Associated Factors Among Pediatric Patients in Cardiac Center Addis Ababa, Ethiopia, 2021/2022 G.C
    AU  - Tesfaye Hurisa
    AU  - Hirut Megersa
    AU  - Tigist Tsegaye
    Y1  - 2022/05/31
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajhr.20221003.12
    DO  - 10.11648/j.ajhr.20221003.12
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
    SP  - 51
    EP  - 62
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20221003.12
    AB  - Morbidity and mortality due to congenital heart disease was primarily caused by delay in diagnosis. Early screening of neonates at birth identifies congenital heart disease and decreases complications related to delayed diagnosis. To assess delayed in diagnosis of congenital heart disease and associated factors among pediatric patients who were registered in Cardiac Center Ethiopia from January 1, 2018, to December 30, 2020. Institutional based cross-sectional study design was used to assess delayed in diagnosis of congenital heart disease and associated factors among pediatric patients in the cardiac center in Addis Ababa, Ethiopia and charts were selected using systematic random sampling out of 216 registered congenital heart disease pediatrics patients who fulfilled the inclusion criteria. The data was entered into Epi-data version 3.1 for cleaning and completeness and exported to SPSS version 23 for analysis. Then by binary logistic regression variables which p-value < 0.25 was identified and moved to multivariate logistic regression. Any statistical test with p-value < 0.05 at 95% CI was considered as statistically significant. In this study, 216 children were included, delayed diagnosis of CHD was identified in 206 (95.4%) record reviews. In multivariable logistic regression analysis, Maternal education for those who were illiterate mothers was 89.7% than delay in diagnosis of literate mother [AOR=0.103 (95% CI= (0.022-0.493)]. Place of child delivery in Health center about 97% delay in diagnosis of CHD than delivery in hospitals AOR=0.030 (95% CI= (0.003-0.293)]. Gestational age in weeks during delivery term baby 87.6% delay in diagnosis of CHD than preterm baby [AOR=0.124 (95% CI (0.020-0.758)]. The overall delay in the diagnosis of CHD was 95.4%. Maternal education, place of child delivery, and gestational age were independently associated with the delayed diagnosis of CHD. Health institutions are strongly recommended to give training to health care providers on screening of CHD during delivery.
    VL  - 10
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • Graduate Study Program, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

  • Graduate Study Program, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

  • Graduate Study Program, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

  • Sections