Cardiovascular physical examination as a screening tool for congenital heart disease in newborns at a teaching hospital in Ghana
Ghana Med. J. (Online)
; 57(2): 148-155, 2023. figures, tables
Article
in English
| AIM
| ID: biblio-1436230
Responsible library:
CG1.1
ABSTRACT
Objectives:
To determine the usefulness of cardiovascular physical examination (CPE) as a screening tool in a lowresource setting for detecting congenital heart disease (CHD) in newborns delivered at the Maternity Unit of Korle Bu Teaching Hospital (KBTH), Accra, Ghana.Design:
A hospital-based cross-sectional study with a comparison group component.Setting:
Maternity Unit of the KBTH, Accra, Ghana.Participants:
Over eight months, newborns aged 1-14 days delivered at ≥ 34 weeks' gestation at the Maternity Unit, KBTH, were recruited into the study. Intervention Each newborn was examined using a set of CPE parameters for the presence of congenital heart disease. Those with suggestive features of CHD had a confirmatory echocardiogram test. Main OutcomeMeasure:
Abnormal CPE features and their corresponding echocardiogram findings.Results:
A total of 1607 were screened, with 52 newborns showing signs of CHD on CPE, of which 20 newborns were proven on echocardiogram to have congenital heart disease. Abnormal CPE parameter that was associated with CHD was murmur (P=0.001), dysmorphism (p=0.01), newborns with chest recessions (p=0.01) and lethargy (p=0.02). CPE's sensitivity, specificity, and positive and negative predictive values were 95%, 60.7%, 36.5% and 98,1%, respectively. The most common acyanotic CHD found was isolated atrial septal defect (ASD), followed by patent ductus arteriosus (PDA). The only cyanotic CHD found was a case of tricuspid atresia.Conclusion:
Cardiovascular physical examination at birth is an effective and inexpensive screening tool for detecting CHD in newborns, which can easily be utilised in low-resource settings.
Fulltext
- https://indexmedicus.afro.who.int/iah/fulltext/Cardiovascular physical examination as a screening tool for congenital heart disease.pdf
- https://www.ghanamedj.org/articles/June2023/10%20Cardiovascular%20physical%20examination%20as%20screening%20tool.pdf
- https://fi-admin.bvsalud.org/document/view/y3dud
Full text:
Available
Index:
AIM (Africa)
Main subject:
Physical Examination
/
Mass Screening
/
Diagnosis
/
Heart Defects, Congenital
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Risk factors
/
Screening study
Language:
English
Journal:
Ghana Med. J. (Online)
Year:
2023
Type:
Article
Institution/Affiliation country:
Department of Biostatistics, School of Public Health, University of Ghana, Legon Ghana/GH
/
Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana/GH
/
Department of Child Health, University of Ghana Medical School, Accra, Ghana/GH
/
National Cardiothoracic Centre, Korle Bu Teaching Hospital, Accra, Ghana/GH
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