Serum Iron Status of Children with Cyanotic Congenital Heart Disease in Lagos, Nigeria

Objectives: Cyanotic congenital heart disease (CCHD) predisposes patients to iron deficiency due to compensatory secondary erythrocytosis. This study aimed to determine the serum iron status and prevalence of iron deficiency among children with cyanotic congenital heart disease attending the Paediat...

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Main Authors: Adejumoke Y. Itiola, Barakat A. Animasahun, Olisamedua F. Njokanma
Format: Article
Language:English
Published: Sultan Qaboos University 2019-12-01
Series:Sultan Qaboos University Medical Journal
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/3389
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author Adejumoke Y. Itiola
Barakat A. Animasahun
Olisamedua F. Njokanma
author_facet Adejumoke Y. Itiola
Barakat A. Animasahun
Olisamedua F. Njokanma
author_sort Adejumoke Y. Itiola
collection DOAJ
description Objectives: Cyanotic congenital heart disease (CCHD) predisposes patients to iron deficiency due to compensatory secondary erythrocytosis. This study aimed to determine the serum iron status and prevalence of iron deficiency among children with cyanotic congenital heart disease attending the Paediatric Cardiology outpatient clinic of Lagos State University Teaching Hospital, Lagos, Nigeria. Methods: This cross-sectional casecontrol study took place between May and October 2015 at the Lagos State University Teaching Hospital. A total of 75 children with cyanotic congenital heart disease and 75 apparently healthy age-, gender- and socioeconomicallymatched controls were analysed to determine serum iron status and the prevalence of iron deficiency as defined by the World Health Organization criteria. Results: The mean age of the children was 47.5 ± 2.9 months (range: 6–144 months old). Iron deficiency was significantly more frequent among CCHD patients compared to control subjects (9.3% versus 0%; P = 0.006). While latent iron deficiency was more prevalent among children in the control group compared to those with CCHD, this difference was not statistically significant (13.3% versus 9.3%; P = 0.303). No cases of iron deficiency anaemia were observed in the studied sample. Conclusion: Neither the children in the control group nor those with CCHD had iron deficiency anaemia. However, iron deficiency was significantly more prevalent among children with CCHD in Lagos. Periodic serum iron status screening is therefore recommended for this population. Keywords: Congenital Heart Defects; Cyanosis; Iron Deficiency Anemia; Children; Case-Control Studies; Nigeria.
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spelling doaj.art-515833be3bfc416996540c28d950d4c22022-12-22T03:04:43ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282019-12-0119434535110.18295/squmj.2019.19.04.0102695Serum Iron Status of Children with Cyanotic Congenital Heart Disease in Lagos, NigeriaAdejumoke Y. Itiola0Barakat A. Animasahun1Olisamedua F. Njokanma2Department of Paediatrics, Faith City Hospital, Lagos, NigeriaDepartment of Paediatrics & Child Health, College of Medicine, Lagos State University, Lagos, NigeriaDepartment of Paediatrics, Lagos State University Teaching Hospital, Lagos, NigeriaObjectives: Cyanotic congenital heart disease (CCHD) predisposes patients to iron deficiency due to compensatory secondary erythrocytosis. This study aimed to determine the serum iron status and prevalence of iron deficiency among children with cyanotic congenital heart disease attending the Paediatric Cardiology outpatient clinic of Lagos State University Teaching Hospital, Lagos, Nigeria. Methods: This cross-sectional casecontrol study took place between May and October 2015 at the Lagos State University Teaching Hospital. A total of 75 children with cyanotic congenital heart disease and 75 apparently healthy age-, gender- and socioeconomicallymatched controls were analysed to determine serum iron status and the prevalence of iron deficiency as defined by the World Health Organization criteria. Results: The mean age of the children was 47.5 ± 2.9 months (range: 6–144 months old). Iron deficiency was significantly more frequent among CCHD patients compared to control subjects (9.3% versus 0%; P = 0.006). While latent iron deficiency was more prevalent among children in the control group compared to those with CCHD, this difference was not statistically significant (13.3% versus 9.3%; P = 0.303). No cases of iron deficiency anaemia were observed in the studied sample. Conclusion: Neither the children in the control group nor those with CCHD had iron deficiency anaemia. However, iron deficiency was significantly more prevalent among children with CCHD in Lagos. Periodic serum iron status screening is therefore recommended for this population. Keywords: Congenital Heart Defects; Cyanosis; Iron Deficiency Anemia; Children; Case-Control Studies; Nigeria.https://journals.squ.edu.om/index.php/squmj/article/view/3389
spellingShingle Adejumoke Y. Itiola
Barakat A. Animasahun
Olisamedua F. Njokanma
Serum Iron Status of Children with Cyanotic Congenital Heart Disease in Lagos, Nigeria
Sultan Qaboos University Medical Journal
title Serum Iron Status of Children with Cyanotic Congenital Heart Disease in Lagos, Nigeria
title_full Serum Iron Status of Children with Cyanotic Congenital Heart Disease in Lagos, Nigeria
title_fullStr Serum Iron Status of Children with Cyanotic Congenital Heart Disease in Lagos, Nigeria
title_full_unstemmed Serum Iron Status of Children with Cyanotic Congenital Heart Disease in Lagos, Nigeria
title_short Serum Iron Status of Children with Cyanotic Congenital Heart Disease in Lagos, Nigeria
title_sort serum iron status of children with cyanotic congenital heart disease in lagos nigeria
url https://journals.squ.edu.om/index.php/squmj/article/view/3389
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