ORIGINAL ARTICLE   

Chirurgia 2017 February;30(1):1-5

DOI: 10.23736/S0394-9508.16.04589-7

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

Pattern and outcome of congenital heart defects managed at Innova Children Heart Hospital, Hyderabad, India as a skill acquisition center

John C. EZE ¹, Ikechukwu A. NWAFOR ¹, Fidelis A. ONYEKWULU ², Ijeoma ARODIWE ³, Kenneth ETUKOKWU ⁴, Ndubueze EZEMBA ¹, Konas S. MURTHY ⁵ ✉

¹ Department of Surgery, National Cardiothoracic Centre, University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria; ² Department of Anesthesia, National Cardiothoracic Centre, UNTH, Enugu, Nigeria; ³ Department of Pediatrics, National Cardiothoracic Centre, UNTH, Enugu, Nigeria; ⁴ Department of Surgery, NAUTH, Nnewi, Nigeria; ⁵ Innova Children Heart Hospital, Hyderabad, India

BACKGROUND: The aim of this study was to review the pattern and outcome of congenital heart defects (CHD) managed at Innova Children Heart Hospital (ICHH) over one year and to examine its role in clinical skill transfer. The University of Nigeria Teaching Hospital (UNTH) in Enugu is a designated center in Nigeria for management of cardiac diseases. It has embarked on training and retraining of the staff. One of the centers for this training is ICHH, in Hyderabad, India.
METHODS: Prospective records of patients with CHD that were managed during training period were recorded. The UNTH team that went for training had hands on in the management of the patients. Data collected included type of CHD, age, treatment, outcome and length of hospital stay.
RESULTS: A total of 805 patients with CHD were managed during the period. The age range was 9 days to 18 years, with a mean age of one and half years. The most common CHD managed was tetralogy of Fallot (38.5%), followed by ventricular septal defect (15.4%) and atrial septal defect (14.8%). Treatment received varied from modified Blalock-Taussig shunt to intracardiac repair among others. The length of hospital stay ranged from 7 days to 21 days with average of 9.3 days. The outcome depended on the type of CHD, time of presentation, associated comorbidity and the extent of accuracy of preoperative echocardiography diagnosis. The success rate of 85-95% on the average was recorded.
CONCLUSIONS: The management of congenital heart diseases in the Indian center was comprehensive as almost all CHD were covered. The outcome was very good. UNTH stands to gain a lot by collaborating with ICHH so as to achieve success and continue to remain as the leading center in Nigeria.

KEY WORDS: Congenital heart defects - Therapeutics - Clinical competence