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Congenital heart disease in 37,294 births in Tunisia: birth prevalence and mortality rate

Published online by Cambridge University Press:  08 October 2013

Dorra Abid ,
Anis Elloumi ,
Leila Abid ,
Souad Mallek ,
Hajer Aloulou ,
Imen Chabchoub ,
Amira Bouraoui ,
Afef Thabet ,
Lamia Gargouri  and
Malek Zribi
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Dorra Abid*
Affiliation:
Cardiology Department, Hedi Chaker Hospital, Sfax, Tunisia
Anis Elloumi
Affiliation:
Cardiology Department, Hedi Chaker Hospital, Sfax, Tunisia
Leila Abid
Affiliation:
Cardiology Department, Hedi Chaker Hospital, Sfax, Tunisia
Souad Mallek
Affiliation:
Cardiology Department, Hedi Chaker Hospital, Sfax, Tunisia
Hajer Aloulou
Affiliation:
Department of Pediatrics, Hedi Chaker Hospital, Sfax, Tunisia
Imen Chabchoub
Affiliation:
Department of Pediatrics, Hedi Chaker Hospital, Sfax, Tunisia
Amira Bouraoui
Affiliation:
Neonatal Intensive Care Unit, Hedi Chaker Hospital, Sfax, Tunisia
Afef Thabet
Affiliation:
Neonatal Intensive Care Unit, Hedi Chaker Hospital, Sfax, Tunisia
Lamia Gargouri
Affiliation:
Pediatric Intensive Care Unit, Hedi Chaker Hospital, Sfax, Tunisia
Malek Zribi
Affiliation:
Department of Forensic Medicine, Habib Bourguiba Hospital, Sfax, Tunisia
Sourour Yaich
Affiliation:
Department of Epidemiology, Hedi Chaker Hospital, Sfax, Tunisia
Mongia Hachicha
Affiliation:
Department of Pediatrics, Hedi Chaker Hospital, Sfax, Tunisia
Abdellatif Gargouri
Affiliation:
Neonatal Intensive Care Unit, Hedi Chaker Hospital, Sfax, Tunisia
Abdelmajid Mahfoudh
Affiliation:
Pediatric Intensive Care Unit, Hedi Chaker Hospital, Sfax, Tunisia
Samir Maatoug
Affiliation:
Department of Forensic Medicine, Habib Bourguiba Hospital, Sfax, Tunisia
Jamel Dammak
Affiliation:
Department of Epidemiology, Hedi Chaker Hospital, Sfax, Tunisia
Samir Kammoun
Affiliation:
Cardiology Department, Hedi Chaker Hospital, Sfax, Tunisia
*
Correspondence to: Dr D. Abid, Department of Cardiology, Hedi Chaker Hospital, El ain street km 0,5; 3029 Sfax, Tunisia. Tel: 0021674243992; Fax: 0021674243992; E-mail: dorraabid@yahoo.com
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Abstract

Aim: To investigate the previously unknown birth incidence, treatment, and mortality of children with congenital heart disease in Tunisia. Methods: We undertook a retrospective review of medical records of all patients who were born in 2010 and 2011, and were diagnosed in Sfax (Tunisia) with congenital heart defect. Results: Among 37,294 births, 255 children were detected to have congenital heart disease, yielding a birth incidence of 6.8 per 1000. The most frequently occurring conditions were ventricular septal defects (31%), ostium secundum atrial septal defects (12.9%), and pulmonary valve abnormalities (12%). Coarctation of the aorta, tetralogy of Fallot, univentricular physiology, pulmonary atresia with ventricular septal defect, and transposition of the great arteries were found in 4.3%, 6.2%, 3.4%, 2.7%, and 2.7%, respectively. During the follow-up of 1 year, 23% of the children died. About three-quarters of those deaths happened before surgery. Conclusion: The present study is in line with the general estimates in the world. It has revealed a high case of mortality among the patients awaiting corrective surgery. These children need more facilities.

Keywords

Congenital heart defectsepidemiologydeveloping countriesmortality
Type
Original Articles
Information
Cardiology in the Young , Volume 24 , Issue 5 , October 2014 , pp. 866 - 871
Copyright
Copyright © Cambridge University Press 2013 

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