Outcome of Cardiac Surgery in Children under 15 years with Congenital Heart Disease in Lao-Luxembourg Heart Center, Mahosot Hospital, Vientiane Capital, Lao PDR
- Author:
Chandavone Soukkaseum
1
;
Pany Kesone
2
;
Mayfong Mayxay
3
;
Yuttapong Wongswadewat
4
Author Information
1. Department of General Pediatric, Mahosot Hospital,Vientiane, Laos
2. Cardiovascular Department, Lao-Luxambourg Heart Center, Mahosot Hospital, Vientiane Capital, Laos
3. Faculty of Medicine, University of Health Sciences, Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Mahosot Hospital, Vientiane, Laos
4. Department of Pediatric, Faculty of Medicine, Konkean University, Thailand
- Publication Type:Journal Article
- Keywords:
Congenital Heart Disease (CHD), Child under 15 years, Lao-Luxambourg Heart Center
- From:
Lao Medical Journal
2022;13(13):20-27
- CountryLao People's Democratic Republic
- Language:Lao
-
Abstract:
Background:Congenital heart disease is the most common causes of major congenital malformations. Congenital heart disease (CHD) represents, globally, 28% of all congenital anomalies, with a prevalence of about 8 to 10 per 1000 people live births, and they mostly require corrective surgery.
Objective:To describe outcomes of congenital heart surgery in children under 15 years in Vientiane, Lao PDR.
Methods:We undertook retrospective analyses of children with CHD who underwent cardiac surgery by the ASD teams at the Laos-Luxembourg Heart Center, Mahosot Hospital, Vientiane Capital, by reviewing the medical charts of patients discharged during 1st January 2014 to 31st December 2018.
Results:Of a total of 415 patients with CHD, 185 underwent cardiac surgery that were the simple lesion 62.1%; moderate lesion 36.0%, complex lesion 1.6%, respectively. The patients who met the inclusion criteria in this study were 158 with a median age of 51 months and those with preschool age of 52.0%. Corrective surgery was the commonest conducted at 98.1%. The major procedure was VSD closure at 34.8%. The post-operative complication found in 30.0%. Overall in hospital mortality rate was 8.8% (by RICHS-1 method).
Conclusion:Congenital heart disease surgery in children under 15 years old at Laos-Luxembourg Heart Center, Mahosot Hospital was significantly associated with post-operative complications and high mortality. Therefore, trainings on CHD surgery and Post-CHD surgery care must be urgently organized to the Lao cardiac surgeons and nurses to reduce complications and deaths.
- Full text:ບົດທີ_03. ຈັນດາວອນ ສຸກກະເສີມ_Outcome of Cardiac surgery in children.pdf
