Incidence and types of congenital heart disease at a referral hospital in Jordan: retrospective study from a tertiary center

BackgroundCongenital heart disease (CHD) is the most common birth defect and accounts for significant global morbidity and mortality. Relatively little is known about the epidemiology of CHD in Jordan or the manner in which CHD is identified.MethodsA retrospective medical record review was conducted...

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Main Authors: Abeer A. Hasan, Naser Aldain A. Abu Lehyah, Moath K. Al Tarawneh, Mahmoud Y. Abbad, Areen G. Fraijat, Razan A. Al-Jammal, Dania M. Moamar, Qasem A. Shersheer, Scott O. Guthrie, Joseph R. Starnes
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1261130/full
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author Abeer A. Hasan
Naser Aldain A. Abu Lehyah
Moath K. Al Tarawneh
Mahmoud Y. Abbad
Areen G. Fraijat
Razan A. Al-Jammal
Dania M. Moamar
Qasem A. Shersheer
Scott O. Guthrie
Joseph R. Starnes
author_facet Abeer A. Hasan
Naser Aldain A. Abu Lehyah
Moath K. Al Tarawneh
Mahmoud Y. Abbad
Areen G. Fraijat
Razan A. Al-Jammal
Dania M. Moamar
Qasem A. Shersheer
Scott O. Guthrie
Joseph R. Starnes
author_sort Abeer A. Hasan
collection DOAJ
description BackgroundCongenital heart disease (CHD) is the most common birth defect and accounts for significant global morbidity and mortality. Relatively little is known about the epidemiology of CHD in Jordan or the manner in which CHD is identified.MethodsA retrospective medical record review was conducted for all neonates who had an abnormal echocardiogram performed at a tertiary referral hospital. All included neonates had echocardiography performed by the same pediatric cardiologist at the discretion of the treatment team. Descriptive statistics were used to describe CHD incidence, types of CHD identified, and mechanism of identification.ResultsThe incidence of congenital heart disease was 17.8 per 1,000 live births. This rose to 24.6 per 1,000 if patent ductus arteriosus in preterm infants was included. The most common identified abnormalities were PDA, atrial septal defects, persistent pulmonary hypertension, septal hypertrophy, and ventricular septal defects. Most children were evaluated either for a murmur heard on exam or as a part of screening due to other comorbidities or risk factors. Less than 1% of children had a prenatal diagnosis. There was a higher rate of persistent pulmonary hypertension during the COVID-19 pandemic than before (p < 0.001).ConclusionsThere is a high incidence of CHD in Jordan. Increased prenatal and perinatal screening for CHD may allow for earlier detection.
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spelling doaj.art-4b3ae551781c4587b8fab0b87e132dc62023-09-18T05:36:49ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-09-011110.3389/fped.2023.12611301261130Incidence and types of congenital heart disease at a referral hospital in Jordan: retrospective study from a tertiary centerAbeer A. Hasan0Naser Aldain A. Abu Lehyah1Moath K. Al Tarawneh2Mahmoud Y. Abbad3Areen G. Fraijat4Razan A. Al-Jammal5Dania M. Moamar6Qasem A. Shersheer7Scott O. Guthrie8Joseph R. Starnes9Division of Neonatology, Department of Pediatrics, Maternity and Children’s Hospital at Al Bashir Hospital, Amman, JordanDivision of Neonatology, Department of Pediatrics, Maternity and Children’s Hospital at Al Bashir Hospital, Amman, JordanDepartment of General Pediatrics, Maternity and Children’s Hospital at Al Bashir Hospital, Amman, JordanDepartment of General Pediatrics, Maternity and Children’s Hospital at Al Bashir Hospital, Amman, JordanDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Maternity and Children’s Hospital at Al Bashir Hospital, Amman, JordanDivision of Neonatology, Department of Pediatrics, Maternity and Children’s Hospital at Al Bashir Hospital, Amman, JordanDepartment of Obstetrics and Gynaecology, Maternity and Children’s Hospital at Al Bashir Hospital, Amman, JordanDepartment of General Pediatrics, Maternity and Children’s Hospital at Al Bashir Hospital, Amman, JordanDivision of Neonatology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, United StatesDivision of Pediatric Cardiology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, United StatesBackgroundCongenital heart disease (CHD) is the most common birth defect and accounts for significant global morbidity and mortality. Relatively little is known about the epidemiology of CHD in Jordan or the manner in which CHD is identified.MethodsA retrospective medical record review was conducted for all neonates who had an abnormal echocardiogram performed at a tertiary referral hospital. All included neonates had echocardiography performed by the same pediatric cardiologist at the discretion of the treatment team. Descriptive statistics were used to describe CHD incidence, types of CHD identified, and mechanism of identification.ResultsThe incidence of congenital heart disease was 17.8 per 1,000 live births. This rose to 24.6 per 1,000 if patent ductus arteriosus in preterm infants was included. The most common identified abnormalities were PDA, atrial septal defects, persistent pulmonary hypertension, septal hypertrophy, and ventricular septal defects. Most children were evaluated either for a murmur heard on exam or as a part of screening due to other comorbidities or risk factors. Less than 1% of children had a prenatal diagnosis. There was a higher rate of persistent pulmonary hypertension during the COVID-19 pandemic than before (p < 0.001).ConclusionsThere is a high incidence of CHD in Jordan. Increased prenatal and perinatal screening for CHD may allow for earlier detection.https://www.frontiersin.org/articles/10.3389/fped.2023.1261130/fullJordancongenital heart defectscardiovascular diseaseepidemiologyseptal defects
spellingShingle Abeer A. Hasan
Naser Aldain A. Abu Lehyah
Moath K. Al Tarawneh
Mahmoud Y. Abbad
Areen G. Fraijat
Razan A. Al-Jammal
Dania M. Moamar
Qasem A. Shersheer
Scott O. Guthrie
Joseph R. Starnes
Incidence and types of congenital heart disease at a referral hospital in Jordan: retrospective study from a tertiary center
Frontiers in Pediatrics
Jordan
congenital heart defects
cardiovascular disease
epidemiology
septal defects
title Incidence and types of congenital heart disease at a referral hospital in Jordan: retrospective study from a tertiary center
title_full Incidence and types of congenital heart disease at a referral hospital in Jordan: retrospective study from a tertiary center
title_fullStr Incidence and types of congenital heart disease at a referral hospital in Jordan: retrospective study from a tertiary center
title_full_unstemmed Incidence and types of congenital heart disease at a referral hospital in Jordan: retrospective study from a tertiary center
title_short Incidence and types of congenital heart disease at a referral hospital in Jordan: retrospective study from a tertiary center
title_sort incidence and types of congenital heart disease at a referral hospital in jordan retrospective study from a tertiary center
topic Jordan
congenital heart defects
cardiovascular disease
epidemiology
septal defects
url https://www.frontiersin.org/articles/10.3389/fped.2023.1261130/full
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