Investigation on causes of untreated congenital heart disease in 3–14 years children in Panzhihua city_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 HU Chaoyang , LIU Jingkui , HE Xiaoqin , ZENG Xianwen , YOU Kai

Department of Cardiothoracic Surgery, General Hospital of Panzhihua Iron & Steel Group, Panzhihua, 617023, Sichuan, P.R.China;

Corresponding?author：

HU Chaoyang, Email: 1205507921@qq.com

Keywords：

Children; congenital heart disease; no treatment; investigation

DOI：

10.7507/1007-4848.201811022

Video：

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Objective Though investigating the causes of untreated congenital heart disease among children aged 3–14 years in Panzhihua city, to provide the basis for formulating intervention measures in the next step.Methods A survey was conducted on the children aged 3 to 14 years in Panzhihua city from March 2015 to December 2017. The causes of untreated congenital heart disease were analyzed. Results Of 148 children with untreated congenital heart diseases, 82 were found to have congenital heart disease or heart murmur before screening. Among them, 59 parents (71.95%) thought that hospitalization was expensive; 42 parents (53.84%) thought that their children were asymptomatic and did not need treatment. Doctors suggested that 13 children (15.85%) be observed. Sixty-six patients of congenital heart disease were found for the first time in this screening, with an average age of 7.11±1.23 years. The patients in the rural population (n=44, 81.82%) were significantly more than the patients in the urban (n=12, 18.18%, P<0.01). Atrial septal defect ranked the first among the diseases, and 45 (68.18%) children did not regularly participate in child health care after birth.Conclusion Most families with untreated congenital heart disease in Panzhihua city think that the cost of treatment is high and there is no need for treatment. And most of them do not participate in child health care regularly. Atrial septal defect ranks first among the diseases. Free screening and treatment of congenital heart disease is of great significance in Panzhihua city.

Citation： HU Chaoyang, LIU Jingkui, HE Xiaoqin, ZENG Xianwen, YOU Kai. Investigation on causes of untreated congenital heart disease in 3–14 years children in Panzhihua city. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(8): 777-779. doi: 10.7507/1007-4848.201811022 Copy

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6.	韓此林, 蔣立虹, 侯宗柳, 等. 云南省不同地區 3-18 歲人群先天性心臟病流行病學特征調查. 昆明醫科大學學報, 2017, 38(8): 30-34.
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8.	馬曉靜. 社區/鄉鎮 0 至 3 歲兒童先天性心臟病篩查-診斷-評估適宜技術的建立與應用. 中國循證兒科雜志, 2013, 10(8): 321-325.
9.	李爍琳, 黃國英. 兒童先天性心臟病流行病學特征. 中國實用兒科雜志, 2017, 32(11): 871-875.
10.	袁麗, 夏榮明, 李秋菊. 北京市朝陽區 860 例先天性心臟病監測資料分析. 中國婦幼保健, 2018, 33(3): 588-591.
11.	Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol, 2002, 39(12): 1890-1900.
12.	Moons P, Sluysmans T, De Wolf D, et al. Congenital heart disease in 111225 births in Belgium: Birth prevalence, treatment and survival in the 21^st century. Acta Paediatr, 2009, 98(3): 472-427.
13.	Liu F, Yang YN, Xie X, et al. Prevalence of congenital heart disease in Xinjiang multi-ethnic region of China. PLoS One, 2015, 10(8): e0133961.
14.	Rizvi SF, Mustafa G, Kundi A, et al. Prevalence of congenital heart disease in rural communities of Pakistan. J Ayub Med Coll Abbottabad, 2015, 27(1): 124-127.

1. Du C, Liu D, Liu G, et al. A meta-analysis about the screening role of pulse oximetry for congenital heart disease. Biomed Res Int, 2017, 2017: 2123918.
2. Rudan I, Chan KY, Zhang JS, et al. Causes of deaths in children younger than 5 years in China in 2008. Lancet, 2010, 375(9720): 1083-1089.
3. Dai L, Zhu J, Liang J, et al. Birth defects surveillance in China. World J Pediatr, 2011, 7(4): 302-310.
4. 黎潔雯. 先天性心臟病的流行趨勢及流行病學分析. 心血管康復醫學雜志, 2017, 26(1): 60-63.
5. 高越, 廖建軍, 劉新華. 烏魯木齊 3-36 月齡兒童先心病危險因素調查. 中國婦幼健康研究, 2017, 28(7): 809-812.
6. 韓此林, 蔣立虹, 侯宗柳, 等. 云南省不同地區 3-18 歲人群先天性心臟病流行病學特征調查. 昆明醫科大學學報, 2017, 38(8): 30-34.
7. 張國明. 新疆少數民族兒童先天性心臟病流行病學調查分析. 中國婦幼健康研究, 2017, 5(28): 593-594.
8. 馬曉靜. 社區/鄉鎮 0 至 3 歲兒童先天性心臟病篩查-診斷-評估適宜技術的建立與應用. 中國循證兒科雜志, 2013, 10(8): 321-325.
9. 李爍琳, 黃國英. 兒童先天性心臟病流行病學特征. 中國實用兒科雜志, 2017, 32(11): 871-875.
10. 袁麗, 夏榮明, 李秋菊. 北京市朝陽區 860 例先天性心臟病監測資料分析. 中國婦幼保健, 2018, 33(3): 588-591.
11. Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol, 2002, 39(12): 1890-1900.
12. Moons P, Sluysmans T, De Wolf D, et al. Congenital heart disease in 111225 births in Belgium: Birth prevalence, treatment and survival in the 21^st century. Acta Paediatr, 2009, 98(3): 472-427.
13. Liu F, Yang YN, Xie X, et al. Prevalence of congenital heart disease in Xinjiang multi-ethnic region of China. PLoS One, 2015, 10(8): e0133961.
14. Rizvi SF, Mustafa G, Kundi A, et al. Prevalence of congenital heart disease in rural communities of Pakistan. J Ayub Med Coll Abbottabad, 2015, 27(1): 124-127.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Investigation on causes of untreated congenital heart disease in 3–14 years children in Panzhihua city

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