Congenital Heart Disease Characteristics in Low Birth Weight Infants at Dr. Hasan Sadikin General Hospital in 2010–2014
Abstract
Background: Congenital heart disease (CHD) is a multifactorial disease defined as an anomaly in the macroscopic structure of the heart that may cause functional disorders. The incidence of CHD is reported higher in infants with low birth weight (LBW) than the entire population of neonates. This study aimed to describe the characteristics of CHD in infants born with LBW.
Methods: This was a retrospective descriptive study with a cross-sectional design, performed in October–November 2015. Data were obtained from medical records of inpatients infants at Dr. Hasan Sadikin General Hospital, Bandung in the period of 2010–2014. The data presented were the characteristics of CHD in LBW infants.
Results: Of 364 LBW infants treated in the hospital within 5 years period, 21 infants (14 girls and 7 boys) were diagnosed as CHD, with birth weight group predominantly (n18; 85.7%) in the range of 1,500–2,499 gr. Non-cyanosis CHD was prevalent in 95.2% (n20),and patent ductus arteriosus (PDA)was found in 76.1% (n16). Comorbid conditions mostly found in this study were preterm birth (n17), sepsis (n10), and neonatal hyperbilirubinemia (n9).
Conclusions: The most common type of CHD in low birth weight infants in Dr. Hasan Sadikin General Hospital is Patent Ductus Arteriosus. The presence of congenital heart disease should be considered in low birth weight infants, thus it is essential to perform screening for early recognition.
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Van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, et al. Birth prevalence of congenital heart disease worldwide: A systematic review and meta-analysis. J Am Coll Cardiol. 2011;58(21):2241–7.
Setty HSSN, Patil SSG, Ramegowda RT, Vijaykumar, Vijayalakshmi IB, Manjunath CN. Comprehensive approach to congenital heart defects. J Cardiovasc Disease Res. 2017;8(1):1–5.
Ul Haq F, Jalil F, Hashmi S, Jumani MI, Imdad A, Jabeen M, et al. Risk factors predisposing to congenital heart defects. Ann Pediatr Cardiol. 2011;4(2):117–21.
Malik S, Cleves MA, Zhao W, Correa A, Hobbs CA. Association between congenital heart defects and small for gestational age. Pediatrics. 2007;119(4):e976–82.
Cho SY, Oh J-H, Lee JH, Lee JY, Lee SJ, Han JW, et al. Recent incidence of congenital heart disease in neonatal care unit of secondary medical center: A single center study. Korean J Pediatr. 2012;55(7):232–7.
Lindinger A, Schwedler G, Hense HW. Prevalence of congenital heart defects in newborns in Germany: Results of the first registration year of the pan study (July 2006 to June 2007). Klin Padiatr. 2010;222(5):321–6.
Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. Riset kesehatan dasar. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia; 2013.
Hagau N, Culcitchi C. Nutritional support in children with congenital heart disease. Nutr Ther Metabol. 2010;28(4):172–84
Maramis PP, Kaunang ED, Rompis J. Hubungan penyakit jantung bawaan dengan status gizi pada anak di RSUP Prof. Dr. Rd Kandou Manado tahun 2009–2013. eCl. 2014;2(2):1–8.
Alam A, Sukadi A, Risan NA, Dhamayanti M. Preterm and low birth weight as risk factors for infant delayed development. Paediatr Indones. 2008;48(1):1–4.
Ades AM, Dominguez TE, Nicolson SC, Gaynor JW, Spray TL, Wernovsky G, et al. Morbidity and mortality after surgery for congenital cardiac disease in the infant born with low weight. Cardiology in the Young. 2010;20(1):8–17.
Dimmick S, Walker K, Badawi N, Halliday R, Cooper SG, Nicholson IA, et al. Outcomes following surgery for congenital heart disease in low‐birthweight infants. J Paediatr Child Health. 2007;43(5):370–5.
Lechner E, Wiesinger-Eidenberger G, Weissensteiner M, Hofer A, Tulzer G, Sames-Dolzer E, et al. Open-heart surgery in premature and lowbirthweight infants–a single-centre experience. Eur J Cardiothorac Surg. 2009;36(6):986–91.
Bernier PL, Stefanescu A, Samoukovic G, Tchervenkov CI. The challenge of congenital heart disease worldwide: Epidemiologic and demographic facts. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2010;13(1):26–34.
Goldenberg RL, Culhane JF. Low birth weight in the United States. Am J Clin Nutr. 2007;85(2):584S–90S.
Departemen Kesehatan Provinsi Jawa Barat. Profil kesehatan Provinsi Jawa Barat tahun 2012. Bandung: Departemen Kesehatan Provinsi Jawa Barat;2012.
Negi K, Kandpal S, Kukreti M. Epidemiological factors affecting low birth weight. JK Science. 2006;8(1):31–4
Freeman SB, Bean LH, Allen EG, Tinker SW, Locke AE, Druschel C, et al. Ethnicity, sex, and the incidence of congenital heart defects: A report from the national down syndrome project. Genet Med. 2008;10(3):173–80.
Lennestål R, Olausson PO, Källén B. Maternal use of antihypertensive drugs in early pregnancy and delivery outcome, notably the presence of congenital heart defects in the infants. Eur J Clin Pharmacol. 2009;65(6):615–25.
Meberg A. Congenital heart defects through 30 years. OJPed. 2012;2(3):219–227.
DOI: https://doi.org/10.15850/amj.v6n3.1533
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