ABSTRACT
heart failure is a condition that continues to present challenges in management in our environment especially in its treatment and outcomes hence the aim of this study. Materials and Methods: A retrospective analysis of the case notes of all children who were diagnosed and managed for heart failure from January 2019 October 2021 was undertaken. Data obtained included age, sex, presenting features, primary diagnosis, treatment modalities, duration of hospital stay and outcomes. Results: A total of 2226 children were admitted over the study period with 67 children diagnosed with heart failure giving a prevalence rate of 3% although only 47 case notes could be retrieved giving a case retrieval rate of 70%. There were 26 (55.3%) males and 21 (44.7%) females (M: F ratio1.2:1). Mean age of patients was 32.6 months (±52.23) with 28(59.6%) of them being infants. Bronchopneumonia was the commonest cause of heart failure 31 (65.9%) either singly or in combination with a cyanotic congenital heart disease followed by severe anemia in 14 (29.8%). Average duration of hospital stay was 6.9days (±5.08) and average cost of admission was N13,266. Twenty-three patients were discharged (48.9%), while 10 (21.3%) left against medical advice, 2 absconded (4.3%) while 12 (25.3%) died. Conclusion: Heart failure remains an important cause of morbidity and mortality in children in our environment arising from largely preventable causes. Urgent steps such as patient care giver education, immunization and screening for congenital heart disease are needed to reduce its effect on children in our environment
Subject(s)
Therapeutics , Outcome Assessment, Health Care , Heart Failure, Diastolic , Integrative Pediatrics , Child , HospitalsABSTRACT
Objectif : Il s'agissait de mettre en evidence le role pronostique de la pression pulsee elevee dans la survenue d'insuffisance cardiaque chez le sujet age Noir Africain. Population et methode : Dans un travail retrospectif portant sur 2000 patients admis a l'Institut de cardiologie d'Abidjan de 1991 a 2011; Nous avions apparie les facteurs de risques cardio-vasculaires; susceptibles d'entrainer de facon significative une insuffisance cardiaque chez le sujet age noir africain. Neuf facteurs ont ete prise en compte: l'age; le sexe; le diabete; le tabac; la dyslipidemie; l'obesite et le stress; les hypertensions arterielles moyenne et pulsee. Resultats : Les patients a PP elevee ont deux fois plus de risque de presenter une insuffisance cardiaque de type diastolique que ceux ayant une pression pulsee normale (Khi2= 207; 91 dd=1 P 0; 05 OR