Congenital Heart Disease in Newborns: Epidemiological and Clinical Particularities in a Neonatology Department in Mali

作     者：Abdoul Karim Doumbia Oumou Koné Adama Dembélé Noumou Sidibé Noel Banou Hawa Gouro Diall Pierre Togo Oumar Coulibaly Karamoko Sacko Djéneba Konaté Tati Simaga Lala Ndrainy Sidibé Fatoumata Léonie Diakité Boubacar Diarra Guédiouma Dembélé Belco Maïga Mohamed Elmouloud Cissé Hawa Konaré Aminata Doumbia Ibrahim Ahamadou Abdoul Aziz Diakité Fatoumata Dicko Traoré Boubacar Togo Abdoul Karim Doumbia;Oumou Koné;Adama Dembélé;Noumou Sidibé;Noel Banou;Hawa Gouro Diall;Pierre Togo;Oumar Coulibaly;Karamoko Sacko;Djéneba Konaté;Tati Simaga Lala Ndrainy Sidibé;Fatoumata Léonie Diakité;Boubacar Diarra;Guédiouma Dembélé;Belco Maïga;Mohamed Elmouloud Cissé;Hawa Konaré;Aminata Doumbia;Ibrahim Ahamadou;Abdoul Aziz Diakité;Fatoumata Dicko Traoré;Boubacar Togo

作者机构：Department of the CHU Gabriel Touré Bamako Mali 

出 版 物：《Open Journal of Pediatrics》 (儿科学期刊（英文）)

年 卷 期：2022年第12卷第5期

页      面：857-866页

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：Congenital Heart Disease Neonates Management 

摘      要：Introduction: Congenital heart disease is an important cause of mortality, chronic morbidity, and disability in children in poor countries. The objective of this study was to highlight the diversity of congenital heart defects in the neonatology department. Methodology: This work had taken place in a neonatology service over a period of six months from January 2019 to June 2019. It was a prospective descriptive study with information collected from the medical records of newborns with congenital heart disease. Results: Of 1478 neonates hospitalized during the study period, 41 had congenital heart disease, for a hospitalization rate of 2.77%. CHD accounted for 2.77% of neonatal hospitalizations. The sex ratio was 1.73 (26 boys/15 girls). Consanguinity was found in 19% of cases. The average time to consultation was 11 days. The main clinical signs were heart murmur (58%), respiratory distress (56%) and extracardiac malformations (54%). The main cardiac malformations found were atrial septal defect (46%), patent ductus arteriosus (44%), ventricular septal defect (17%), complete atrioventricular canal (15%), and transposition of the great vessels (5%). The case fatality rate was 29%. Conclusion: Delayed diagnosis, generally related to the long delay in consultation, and lack of surgical management partly explain this high case fatality.