Assessment of the frequency and causes of heart consulting in patients admitted to the neonatal intensive care unit
Background: Congenital heart diseases are the second group of congenital anomalies in infants. These disorders are a major cause of death in the first year of a child's life. Early detection helps to treat these diseases better. In this study cardiology consultations of hospitalized infants in...
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2019-12-01
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| Series: | Tehran University Medical Journal |
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| Online Access: | http://tumj.tums.ac.ir/article-1-10128-en.html |
| _version_ | 1817986467254763520 |
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| author | Amir Hosein Movahedian Mohammad Jahangiri Mona Nabovati Mohammad Reza Sharif Raheleh Moradi Ziba Mosayebi |
| author_facet | Amir Hosein Movahedian Mohammad Jahangiri Mona Nabovati Mohammad Reza Sharif Raheleh Moradi Ziba Mosayebi |
| author_sort | Amir Hosein Movahedian |
| collection | DOAJ |
| description | Background: Congenital heart diseases are the second group of congenital anomalies in infants. These disorders are a major cause of death in the first year of a child's life. Early detection helps to treat these diseases better. In this study cardiology consultations of hospitalized infants in the neonatal intensive care unit were evaluated.
Methods: In this cross-sectional study, two hundred and fifty pediatric cardiology consultations conducted in Shahid Beheshti Hospital in the year 2012 were reviewed. Information such as the cause of consulting, delivery type, age of parents, relative couples, family history of congenital heart disease, maternal medications, maternal background diseases, the final diagnosis, and prognosis follow-up of the patients were recorded in a designed questionnaire. Finally, the data were entered into the SPSS software, version 16 (IBM SPSS, Armonk, NY, USA) and analyzed using descriptive statistics and chi-square test. P-value of less than 0.05 was considered significant.
Results: The mean age of the consulted neonates was 4.845±5.14 days with a gestational age of 33.933±3.65 weeks. Male sex and cesarean section were the most frequent. Fifty-six percent of consulted infants were male. The present study revealed that prematurity (76%), murmurs (30.8%), respiratory distress syndrome (14.4%) and cyanosis (13.2%) were the most common causes of the cardiac consultation seeking among infants. Seventy-six percent of infants were consulted due to prematurity. Eighty-four percent of infants had a normal conditions. Septal defects (ventricular or atrial septal defect) and patent ductus arteriosus were the most common disease diagnosed with the prevalence of 27.5 and 17.5%, respectively. There was a significant relationship between preterm labor and congenital heart disease (P<0.001). Additionally, prematurity associated with respiratory distress syndrome and using assisted reproductive techniques.
Conclusion: The higher prevalence of congenital heart disease in the present study, compared with other studies, reflects the fact that cardiology consultation based on clinical suspicion leads to the more identification of congenital heart disease that means the right referral of newborns for consultation was accompanied with a higher incidence of heart failure. |
| first_indexed | 2024-04-14T00:09:30Z |
| format | Article |
| id | doaj.art-6239ae4333b84f9f9e0b8ecec4154cb4 |
| institution | Directory Open Access Journal |
| issn | 1683-1764 1735-7322 |
| language | fas |
| last_indexed | 2024-04-14T00:09:30Z |
| publishDate | 2019-12-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Tehran University Medical Journal |
| spelling | doaj.art-6239ae4333b84f9f9e0b8ecec4154cb42022-12-22T02:23:23ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222019-12-01779572578Assessment of the frequency and causes of heart consulting in patients admitted to the neonatal intensive care unitAmir Hosein Movahedian0Mohammad Jahangiri1Mona Nabovati2Mohammad Reza Sharif3Raheleh Moradi4Ziba Mosayebi5 Department of Pediatrics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Department of Pediatrics, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran. Department of Pediatrics, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran. Department of Pediatrics, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran. Family Health Institute, Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran. Family Health Institute, Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran. Background: Congenital heart diseases are the second group of congenital anomalies in infants. These disorders are a major cause of death in the first year of a child's life. Early detection helps to treat these diseases better. In this study cardiology consultations of hospitalized infants in the neonatal intensive care unit were evaluated. Methods: In this cross-sectional study, two hundred and fifty pediatric cardiology consultations conducted in Shahid Beheshti Hospital in the year 2012 were reviewed. Information such as the cause of consulting, delivery type, age of parents, relative couples, family history of congenital heart disease, maternal medications, maternal background diseases, the final diagnosis, and prognosis follow-up of the patients were recorded in a designed questionnaire. Finally, the data were entered into the SPSS software, version 16 (IBM SPSS, Armonk, NY, USA) and analyzed using descriptive statistics and chi-square test. P-value of less than 0.05 was considered significant. Results: The mean age of the consulted neonates was 4.845±5.14 days with a gestational age of 33.933±3.65 weeks. Male sex and cesarean section were the most frequent. Fifty-six percent of consulted infants were male. The present study revealed that prematurity (76%), murmurs (30.8%), respiratory distress syndrome (14.4%) and cyanosis (13.2%) were the most common causes of the cardiac consultation seeking among infants. Seventy-six percent of infants were consulted due to prematurity. Eighty-four percent of infants had a normal conditions. Septal defects (ventricular or atrial septal defect) and patent ductus arteriosus were the most common disease diagnosed with the prevalence of 27.5 and 17.5%, respectively. There was a significant relationship between preterm labor and congenital heart disease (P<0.001). Additionally, prematurity associated with respiratory distress syndrome and using assisted reproductive techniques. Conclusion: The higher prevalence of congenital heart disease in the present study, compared with other studies, reflects the fact that cardiology consultation based on clinical suspicion leads to the more identification of congenital heart disease that means the right referral of newborns for consultation was accompanied with a higher incidence of heart failure.http://tumj.tums.ac.ir/article-1-10128-en.htmlcongenitalcross-sectional studiesheart diseasesneonatal intensive care unitneonatesreferral and consultation |
| spellingShingle | Amir Hosein Movahedian Mohammad Jahangiri Mona Nabovati Mohammad Reza Sharif Raheleh Moradi Ziba Mosayebi Assessment of the frequency and causes of heart consulting in patients admitted to the neonatal intensive care unit Tehran University Medical Journal congenital cross-sectional studies heart diseases neonatal intensive care unit neonates referral and consultation |
| title | Assessment of the frequency and causes of heart consulting in patients admitted to the neonatal intensive care unit |
| title_full | Assessment of the frequency and causes of heart consulting in patients admitted to the neonatal intensive care unit |
| title_fullStr | Assessment of the frequency and causes of heart consulting in patients admitted to the neonatal intensive care unit |
| title_full_unstemmed | Assessment of the frequency and causes of heart consulting in patients admitted to the neonatal intensive care unit |
| title_short | Assessment of the frequency and causes of heart consulting in patients admitted to the neonatal intensive care unit |
| title_sort | assessment of the frequency and causes of heart consulting in patients admitted to the neonatal intensive care unit |
| topic | congenital cross-sectional studies heart diseases neonatal intensive care unit neonates referral and consultation |
| url | http://tumj.tums.ac.ir/article-1-10128-en.html |
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